Individual
NICHOLAS JOSEPH WISSING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6963
(319) 356-2587
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 353-6963
(319) 356-2587
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
107123
IA
1041C0700X
Clinical Social Worker
Primary
107123
IA
1041C0700X
Clinical Social Worker
149025767
IL
Other
Enumeration date
08/11/2023
Last updated
02/21/2024
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