Individual
DORIS A WALLENBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1505 20TH ST, ROCK VALLEY, IA 51247-1040
(712) 541-3836
(712) 707-9220
Mailing address
1505 20TH ST, ROCK VALLEY, IA 51247-1040
(712) 541-3836
(712) 707-9220
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007232
IA
Other
Enumeration date
12/13/2010
Last updated
12/13/2010
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