Individual
MRS. CASEY EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
810 LOCUST ST, DUBUQUE, IA 52001-6705
(563) 275-6763
Mailing address
810 LOCUST ST, DUBUQUE, IA 52001-6705
(563) 275-6763
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
072407
IA
1041C0700X
Clinical Social Worker
Primary
072407
IA
Other
Enumeration date
05/29/2014
Last updated
01/09/2018
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