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Organization

BIRDS BARK, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANNE KATHERINE VENTULLO LISW (OWNER/THERAPIST)
(319) 415-2336
Entity
Organization

Contact information

Practice address
123 N LINN ST STE 2D, IOWA CITY, IA 52245-2147
(802) 335-2336
Mailing address
123 N LINN ST STE 2D, IOWA CITY, IA 52245-2147
(802) 335-2336

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Enumeration date
12/01/2025
Last updated
12/01/2025
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