Individual
HOLLY FUESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 4TH AVE SE, CEDAR RAPIDS, IA 52401-1844
(319) 364-1953
Mailing address
2884 CORAL CT APT 301, CORALVILLE, IA 52241-2855
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
095288
IA
Other
Enumeration date
09/02/2019
Last updated
06/17/2020
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