Individual
STEPHANIE LYNN VAN HOUSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1150 5TH ST STE 270, CORALVILLE, IA 52241-2933
(319) 804-9312
Mailing address
1150 5TH ST STE 270, CORALVILLE, IA 52241-2933
(319) 804-9312
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
085336
IA
1041C0700X
Clinical Social Worker
Primary
085336
IA
Other
Enumeration date
01/08/2021
Last updated
04/23/2021
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