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Individual

LINDSAY HARDGRAVE MASSENA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW, BCBA

Contact information

Practice address
1011 DAVIS ST, DUBUQUE, IA 52001-1306
(556) 563-7878
(556) 563-1259
Mailing address
1011 DAVIS ST, DUBUQUE, IA 52001-1306
(556) 563-7878
(556) 563-1259

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
101027
IA
104100000X
Social Worker

Other

Enumeration date
06/06/2014
Last updated
10/08/2020
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