Individual
MR. RODNEY SCHRECK
Active
Individual
MR. RODNEY SCHRECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01816
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0091637
—
IA
01
—
09971
BCIA
IA
01
—
231738
MIDLANDS
IA
01
—
I1807
PTAN
IA
01
—
IA0131
JOHN DEERE
IA
Enumeration date
04/10/2006
Last updated
09/27/2011
Update your record
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