Individual
KAYLA SCALISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
515 E BROADWAY, COUNCIL BLUFFS, IA 51503-4419
(712) 322-1407
Mailing address
3606 S 50TH ST APT 2, OMAHA, NE 68106-4545
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008161
IA
Other
Enumeration date
02/28/2013
Last updated
02/28/2013
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