Individual
MR. MICHAEL GREG VANGORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
216 N MAIN ST, CHARLES CITY, IA 50616-2017
(641) 228-2050
Mailing address
216 N MAIN ST, CHARLES CITY, IA 50616-2017
(641) 228-2050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06588
IA
Other
Enumeration date
10/30/2012
Last updated
10/30/2012
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