Individual
MS. LORI DEGELAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1015 N 29TH ST, FORT DODGE, IA 50501-2839
(515) 570-8269
Mailing address
1015 N 29TH ST, FORT DODGE, IA 50501-2839
(515) 570-8269
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02741
IA
Other
Enumeration date
04/04/2012
Last updated
05/29/2014
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