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Individual

MRS. KATHRINE RACHEL BECKMAN-SHAULL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 551-9973
(866) 496-4073
Mailing address
3002 LUCAS AVE, ROWLEY, IA 52329-9713
(319) 551-9973

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
007117
IA
1041C0700X
Clinical Social Worker
Primary
007117
IA

Other

Enumeration date
11/11/2008
Last updated
08/25/2022
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