Individual
MISTY DAWN GAWRONSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1125 25TH AVE, COUNCIL BLUFFS, IA 51501-7428
(712) 713-9749
Mailing address
1125 25TH AVE, COUNCIL BLUFFS, IA 51501-7428
(712) 713-9749
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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