Shelly Kay Backhaus, LISW Valid NPI
Individual provider · Clinical Social Worker · Sioux City, IA
- NPI
- 1659607083
- Type
- Individual (Type 1)
- Primary specialty
- Clinical Social Worker (Social Worker)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 1041C0700X
- License number
- 007379 (IA)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2009-10-20
- Last updated
- 2013-05-31
Practice location
1021 Nebraska St
Sioux City, IA 51105-1436
(712) 252-2477