Individual
TANA ASHLEY FOURDYCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
810 MAIN ST, MUSCATINE, IA 52761-1848
(563) 320-7050
Mailing address
1706 BRADY ST STE 206, DAVENPORT, IA 52803-4708
(563) 508-5205
(563) 424-5453
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
006963
IA
Other
Enumeration date
12/08/2009
Last updated
03/26/2024
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