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Individual

LAURIE A FEIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
412 NW IRVINEDALE DRIVE, ANKENY, IA 50023-8962
(515) 314-5655
Mailing address
412 NW IRVINEDALE DR, ANKENY, IA 50023-8962
(515) 964-1733

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
01501
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1262147
IA
01
45694
WELLMARK
IA
Enumeration date
07/07/2006
Last updated
11/19/2017
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