Individual
LAURA GIVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
147 15TH AVE, COUNCIL BLUFFS, IA 51503-6827
(712) 325-1331
Mailing address
2607 WAYNE ST, BELLEVUE, NE 68005-5359
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007869
IA
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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