Organization
MAVERICK MENTAL HEALTH, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN E ELM LISW, BC-TMH (OWNER)
(612) 749-3746
Entity
Organization
Contact information
Practice address
3425 HOLIDAY CT APT 2, BETTENDORF, IA 52722-6702
(612) 749-3746
Mailing address
3425 HOLIDAY CT APT 2, BETTENDORF, IA 52722-6702
(612) 749-3746
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/03/2022
Last updated
05/03/2022
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