Individual
KACIE NEWMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(515) 553-6200
Mailing address
1450 NW 114TH ST, CLIVE, IA 50325-7039
(515) 553-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
104100000X
Social Worker
Primary
—
IA
Other
Enumeration date
12/19/2013
Last updated
10/28/2024
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