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Individual

LAUREN OLDAG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2300 SWAN LAKE BLVD STE 102, INDEPENDENCE, IA 50644
(563) 212-8015
Mailing address
2300 SWAN LAKE BLVD, SUITE 102, INDEPENDENCE, IA 50644-9708
(563) 212-8015
(319) 332-1241

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077411
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0074435
IA
Enumeration date
08/19/2016
Last updated
08/20/2018
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