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NPI Code Detail

MEDICARE: MS. ANNE MARLENE HEDRICK LMSW

MEDICARE: MS. ANNE MARLENE HEDRICK LMSW
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
1104100000XSocial Worker

General Provider Information

NPI Number : 1548211675
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNE MARLENE HEDRICK LMSW
Provider Business Mailing Address
First Line : 2005 ASBURY RD
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-3042
Country : US
Telephone Number : 563-583-7357
Fax Number : 563-583-7026
Provider Business Practice Location Address
First Line : 2005 ASBURY RD
Second Line :
City : DUBUQUE
State : IA
Zip : 52001-3042
Country : US
Telephone Number : 563-583-7357
Fax Number : 563-583-7026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2006
Last Update Date : 07/08/2007

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