Individual
MS. KATHRYN M BUNGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
518 S 8TH ST, SUITE #207, CLEAR LAKE, IA 50428-2577
(641) 357-0272
(641) 357-3059
Mailing address
518 S 8TH ST, SUITE #207, CLEAR LAKE, IA 50428-2577
(641) 357-0272
(641) 357-3059
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00173
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04645
WELLMARK BLUE SHIELD
IA
01
—
21957
MIDLANDS
IA
Enumeration date
02/01/2006
Last updated
10/08/2012
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