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General NPI Number Information
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NPI Number | 1295285955
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Entity Type | Individual
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Provider Name | SANDRA E HEALEY LISW
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Gender | Female
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Dates
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Enumeration Date | 10/06/2016
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 715 W 1ST ST
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City | CEDAR FALLS
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State | IA
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Zip | 50613-2617
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Country | US
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Telephone | 319-640-6048
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Fax |
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Provider Business Mailing Address
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Address Line | 1006 I AVE
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City | GRUNDY CENTER
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State | IA
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Zip | 50638-1111
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Country | US
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Telephone | 319-640-6048
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 03350
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801100091
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 6802086508
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 03350
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License Number State | IA
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