Individual
DAVID SEAGULL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
500 N 3RD ST, STE 208D, FAIRFIELD, IA 52556-2483
(641) 472-5771
Mailing address
206 E WASHINGTON AVE, FAIRFIELD, IA 52556-3145
(517) 410-3318
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
077034
IA
Other
Enumeration date
06/17/2015
Last updated
06/06/2018
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