Individual
MARY THARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
5264 COUNCIL ST NE, CEDAR RAPIDS, IA 52402-2471
(319) 398-6575
(319) 369-4673
Mailing address
PO BOX 1824, CEDAR RAPIDS, IA 52406-1824
(319) 369-4505
(319) 369-4677
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03805
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38918
WELLMARK
IA
Enumeration date
03/31/2006
Last updated
04/27/2009
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