Organization
CORALVILLE COUNSELING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BOBBY JO SALM LISW, LICW (THERAPIST)
(319) 330-7227
Entity
Organization
Contact information
Practice address
2431 CORAL CT STE 4, CORALVILLE, IA 52241-2838
(319) 359-7047
Mailing address
513 REDBIRD RUN, TIFFIN, IA 52340-9309
(319) 359-7047
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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