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Individual

MR. EDGAR J SIGUENZA

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
LISW

Contact information

Practice address
3100 E AVE NW, STE 101, CEDAR RAPIDS, IA 52405-2962
(319) 396-3110
(319) 396-8779
Mailing address
800 1ST ST NW, CEDAR RAPIDS, IA 52405-2713
(319) 396-1066
(319) 396-8779

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00488
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36843
BCBS
IA
Enumeration date
08/09/2005
Last updated
07/08/2007
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