Individual
MRS. JULIE MARIE DORAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2533 SCOTT BLVD SE, IOWA CITY, IA 52240-8195
(319) 338-9212
(319) 354-8956
Mailing address
2533 SCOTT BLVD SE, IOWA CITY, IA 52240-8195
(319) 338-9212
(319) 354-8956
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05915
IA
Other
Enumeration date
12/20/2007
Last updated
12/20/2007
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