Organization
DUSTIN DAUGHERTY, LISW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DUSTIN LEE DAUGHERTY LISW (OWNER/CLINICAL SOCIAL WORKER)
(515) 868-0445
Entity
Organization
Contact information
Practice address
1200 VALLEY WEST DR STE 206-08, WEST DES MOINES, IA 50266-1938
(515) 868-0445
(515) 225-7546
Mailing address
1200 VALLEY WEST DR STE 206-08, WEST DES MOINES, IA 50266-1938
(515) 868-0445
(515) 225-7546
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007035
IA
Other
Enumeration date
02/21/2012
Last updated
02/21/2012
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