Individual
MRS. MADISON ALICIA SWEET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
10542 JUSTIN DR, URBANDALE, IA 50322-3730
(515) 344-4148
Mailing address
10542 JUSTIN DR, URBANDALE, IA 50322-3730
(515) 344-4148
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
076887
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0711185
—
IA
01
—
1568845808
WELLMARK BCBS IA
IA
Enumeration date
07/06/2015
Last updated
06/06/2022
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