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Organization

STEVIE VAN HOUSEN LISW

Active
Parent organization
STEVIE VAN HOUSEN LISW
Other names
Minds Matter
Organization subpart
Yes

Provider details

NPI number
Legal business name
STEVIE VAN HOUSEN LISW
Authorized official
MS. STEPHANIE VAN HOUSEN LISW MA ED (CLINICAL SOCIAL WORKER)
(319) 351-4805
Entity
Organization

Contact information

Practice address
2107 10TH ST, CORALVILLE, IA 52241-1325
(319) 351-4805
Mailing address
2107 10TH ST, CORALVILLE, IA 52241-1325
(319) 351-4805

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
08/02/2022
Last updated
08/02/2022
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