Individual
ANNA SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1225 S GEAR AVE, MERCY PLAZA STE 251, WEST BURLINGTON, IA 52655-1691
(319) 768-3700
(319) 768-3712
Mailing address
1225 S GEAR AVE, MERCY PLAZA STE 251, WEST BURLINGTON, IA 52655-1691
(319) 768-3700
(319) 768-3712
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
05110
IA
Other
Enumeration date
11/11/2015
Last updated
10/28/2016
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