Individual
AMY C GOSNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
233 S 2ND ST, WEST BRANCH, IA 52358-9620
(319) 643-2532
Mailing address
233 S 2ND ST, WEST BRANCH, IA 52358-9620
(319) 643-2532
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06672
IA
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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