Individual
MR. THOMAS J KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
3100 E AVE NW, STE 101, CEDAR RAPIDS, IA 52405-2962
(319) 396-1066
Mailing address
800 1ST ST NW, CEDAR RAPIDS, IA 52405-2713
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01087
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16858
BCBS
IA
Enumeration date
08/01/2005
Last updated
11/14/2007
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