Individual
MR. EVERETT THOMAS ASBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
1953 1ST AVE SE, CEDAR RAPIDS, IA 52402-5328
(319) 364-1953
Mailing address
1301 MEMORIAL DR SE, CEDAR RAPIDS, IA 52403-3545
(319) 533-8067
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007616
IA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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