Individual
KELLI NICOLE BREDEHOEFT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1708 NW PRAIRIE CREEK DR, GRIMES, IA 50111-4829
(319) 404-1492
Mailing address
1708 NW PRAIRIE CREEK DR, GRIMES, IA 50111-4829
(319) 404-1492
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00750
IA
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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