Marilyn K Southard, LISW Valid NPI

Individual provider · Clinical Social Worker · Decorah, IA

NPI

1578636320

Type

Individual (Type 1)

Primary specialty

Clinical Social Worker (Social Worker)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

1041C0700X

License number

00221 (IA)

Sex

Female

Sole proprietor

No

Enumerated

2006-11-16

Last updated

2007-07-08