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Individual

BRENDA LYNN GERDES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
914 WILLSON AVE, WEBSTER CITY, IA 50595-2215
(515) 979-5661
Mailing address
11963 580TH AVE, STORY CITY, IA 50248-8745
(515) 979-5661

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
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