Individual
TINA ROSE FLAHERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.I.S.W.
Contact information
Practice address
2435 KIMBERLY RD STE 165S, BETTENDORF, IA 52722-3591
(563) 232-1878
(563) 232-1879
Mailing address
2435 KIMBERLY RD STE 165S, BETTENDORF, IA 52722-3591
(563) 232-1878
(563) 232-1879
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01837
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283507
—
IA
Enumeration date
09/07/2006
Last updated
07/21/2022
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