Individual
LARRY L ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S.W./L.I.S.W.
Contact information
Practice address
505 39TH AVE, AMANA, IA 52203-8229
(319) 622-3231
(319) 622-3077
Mailing address
2752 HIDDEN VALLEY TRL NE, SOLON, IA 52333-9551
(319) 622-3231
(319) 622-3077
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01844
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01844
IOWA LICENSE
IA
Enumeration date
01/26/2009
Last updated
01/26/2009
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