Individual
KEVIN G COMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
215 W STATE ST, BEHAVIORAL HEALTH CENTERS OF SO IA - CORYDON, CORYDON, IA 50060-9998
(641) 872-1750
(641) 872-1750
Mailing address
302 NE 14TH ST, LEON, IA 50144-1206
(641) 446-2383
(641) 446-2382
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2235
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2235
LICENSE
IA
Enumeration date
03/23/2007
Last updated
07/09/2007
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