Individual
MIRANDA K MADAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
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
007530
IA
1041C0700X
Clinical Social Worker
Primary
007530
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007530
SOCIAL WORK LICENSE
IA
Enumeration date
10/27/2010
Last updated
11/18/2019
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