Individual
DR. SUSAN KOSCHE VALLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDD, LISW
Contact information
Practice address
106 16TH ST SW, WAVERLY, IA 50677-2822
(319) 504-9050
Mailing address
106 16TH ST SW, WAVERLY, IA 50677-2822
(319) 504-9050
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
02281
IA
Other
Enumeration date
06/28/2013
Last updated
06/28/2013
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