Individual
KAYGEN KAY DEITRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2022 3RD AVE NW, WAVERLY, IA 50677-2010
(319) 596-5910
Mailing address
3337 KIPLING RD, WATERLOO, IA 50701-9187
(319) 429-2465
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
124975
IA
Other
Enumeration date
05/20/2024
Last updated
05/20/2024
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