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Individual

DEBORAH SUE CARNINE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.I.S.W.

Contact information

Practice address
416 DOUGLAS AVE, SUITE 201, AMES, IA 50010-6214
(515) 232-7157
(515) 232-7116
Mailing address
416 DOUGLAS AVE, SUITE 201, AMES, IA 50010-6214
(515) 232-7157
(515) 232-7116

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01108
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0198184
IA
Enumeration date
12/14/2005
Last updated
10/18/2012
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