Individual
BRENDA LYNN GERDES
Active
Individual
BRENDA LYNN GERDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01664
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100059455001
APS HEALTHCARE
IA
01
—
110623
HEALTH ALLIANCE
IA
01
—
38042
WELLMARK BCBS
IA
01
—
39883
WELLMARK BCBS
IA
01
—
9357788
MULTI PLAN
IA
Enumeration date
02/20/2007
Last updated
07/09/2007
Update your record
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