Individual
SARA STAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1193 580TH ST, QUIMBY, IA 51049-7036
(712) 229-7218
Mailing address
1193 580TH ST, QUIMBY, IA 51049-7036
(712) 229-7218
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
12082
IA
1041C0700X
Clinical Social Worker
Primary
086971
IA
Other
Enumeration date
03/28/2016
Last updated
05/06/2025
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