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NPI Code Detail

MEDICARE: AARON L CULLEY LISW

MEDICARE:   AARON L CULLEY  LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker077789IA
2104100000XSocial Worker077789IA

General Provider Information

NPI Number : 1487179958
Entity Type Code : Individual
Provider Name (Legal Business Name) : AARON L CULLEY LISW
Provider Business Mailing Address
First Line : 146 W DALE ST STE 101
Second Line :
City : WATERLOO
State : IA
Zip : 50703-1901
Country : US
Telephone Number : 319-226-2119
Fax Number :
Provider Business Practice Location Address
First Line : 4615 CHADWICK RD STE 2
Second Line :
City : CEDAR FALLS
State : IA
Zip : 50613-8091
Country : US
Telephone Number : 319-255-5660
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2017
Last Update Date : 09/05/2023

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Directions to “ AARON L CULLEY LISW” Practice Location

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