Individual
WENDY KAY KEPFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
111 10TH ST SW, WAVERLY, IA 50677-2925
(319) 352-2064
(319) 352-2329
Mailing address
111 10TH ST SW, PO BOX 114, WAVERLY, IA 50677-2925
(319) 352-2064
(319) 352-2329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
02610
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02610
LISW
IA
Enumeration date
01/15/2008
Last updated
01/15/2008
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