Individual
KATIE SCARLET SOUTHWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1105 N ANKENY BLVD STE 100, ANKENY, IA 50023-4003
(515) 255-8399
Mailing address
1290 JORDAN ST, NORTH LIBERTY, IA 52317-8020
(319) 249-0307
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
121790
NY
104100000X
Social Worker
8920
OK
1041C0700X
Clinical Social Worker
Primary
124773
IA
Other
Enumeration date
09/18/2023
Last updated
05/03/2024
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