Individual
AVA DORRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
1000 N BROADWAY ST, RED OAK, IA 51566-1454
(712) 355-0401
Mailing address
1038 G AVE, RED OAK, IA 51566-5053
(712) 767-2238
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00635
IA
Other
Enumeration date
03/17/2015
Last updated
03/17/2015
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