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Individual

KARLA MARIE MANTERNACH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
322 S 13TH ST, SAC CITY, IA 50583-1910
(712) 662-3222
Mailing address
322 S 13TH ST, SAC CITY, IA 50583-1910
(712) 662-3222

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01021
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
01021
LISW LICENSE
IA
Enumeration date
12/13/2006
Last updated
01/04/2008
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Product
  • Claims
  • Eligibility checks
  • EDI platform