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General NPI Number Information
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NPI Number | 1184459414
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Entity Type | Organization
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Legal Business Name | MUNTZ COUNSELING AND WELLNESS LLC
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Dates
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Enumeration Date | 09/05/2024
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Last Update Date | 09/05/2024
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Provider Practice Location Address
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Address Line | 2600 DODGE ST STE D4
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City | DUBUQUE
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State | IA
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Zip | 52003-7161
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Country | US
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Telephone | 563-341-7188
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Fax |
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Provider Business Mailing Address
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Address Line | 401 COURT ST
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City | BELLEVUE
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State | IA
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Zip | 52031-1612
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Country | US
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Telephone | 563-341-7188
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HEATHER MUNTZ
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Credential | MSW, LISW
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Telephone | 563-341-7188
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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