Individual
MELANIE TAGTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-2064
Mailing address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-2064
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06387
IA
Other
Enumeration date
07/02/2015
Last updated
07/02/2015
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