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STACEY LOUISE NORTON-MODRELL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2101 COURT ST, SIOUX CITY, IA 51104-3243
(712) 293-4700
(712) 293-4805
Mailing address
PO BOX 1197, SIOUX CITY, IA 51102-1197
(712) 293-4700
(712) 293-4805

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00598
IA

Other

Enumeration date
04/01/2006
Last updated
07/08/2007
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