Individual
LAURA A NYDAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
12951 UNIVERSITY AVE STE 200C, CLIVE, IA 50325-8297
(515) 832-0528
Mailing address
12951 UNIVERSITY AVE STE 200C, CLIVE, IA 50325-8297
(515) 832-0528
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
008262
IA
Other
Enumeration date
07/11/2013
Last updated
04/07/2026
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