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Individual

MR. RICHARD J SOCWELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS MSED

Contact information

Practice address
3100 E AVE NW, SUITE 101, CEDAR RAPIDS, IA 52405
(319) 396-3110
(319) 396-8779
Mailing address
800 1ST ST NW, CEDAR RAPIDS, IA 52405
(319) 396-1066
(319) 396-8779

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
00529
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14963
BCBS
IA
Enumeration date
08/01/2005
Last updated
11/14/2007
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