Individual
MIRANDA SUE BOHLKEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
655 LIBERTY WAY, SUITE 6, NORTH LIBERTY, IA 52317-9154
(319) 665-2137
(319) 665-2137
Mailing address
3429 HEMLOCK PL NE, APT. 1, CEDAR RAPIDS, IA 52402-8816
(563) 581-2673
(866) 387-3989
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06264
IA
Other
Enumeration date
06/27/2007
Last updated
04/27/2011
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