Individual
COURTNEY LYN VASSILIADES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3978 MACBRIDE PL NE, SOLON, IA 52333-9406
(319) 621-0961
Mailing address
3978 MACBRIDE PL NE, SOLON, IA 52333-9406
(319) 621-0961
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
072178
IA
Other
Enumeration date
01/15/2024
Last updated
01/15/2024
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