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Individual

DEBORAH POGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
2142 OPAL LN, FAIRFIELD, IA 52556-8646
(641) 455-8400
Mailing address
2142 OPAL LN, FAIRFIELD, IA 52556-8646
(641) 455-8400

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06709
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107314000
IOWA PLAN
IA
Enumeration date
06/20/2008
Last updated
11/23/2021
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