Individual
LORI ROETLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2350 OAKDALE BLVD, CORALVILLE, IA 52241-9702
(319) 351-5437
Mailing address
1930 LYNNCREST DR, CORALVILLE, IA 52241-2714
(319) 430-0698
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04814
IA
Other
Enumeration date
10/11/2019
Last updated
10/11/2019
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