Individual
SALLY MARIE RIECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
100 HAWKINS DR, IOWA CITY, IA 52242-1016
(319) 467-7402
Mailing address
100 HAWKINS DR RM 333, IOWA CITY, IA 52242-1016
(319) 467-7402
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
008038
IA
1041C0700X
Clinical Social Worker
Primary
008038
IA
Other
Enumeration date
12/03/2019
Last updated
01/10/2020
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