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General NPI Number Information
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NPI Number | 1962157768
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Entity Type | Individual
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Provider Name | LAURA CATHERINE CROW LISW
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Gender | Female
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Dates
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Enumeration Date | 02/21/2022
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Last Update Date | 12/31/2025
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Provider Practice Location Address
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Address Line | 1811 BOYSON RD STE A
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City | HIAWATHA
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State | IA
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Zip | 52233-1270
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Country | US
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Telephone | 319-250-1267
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Fax | 319-200-4456
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Provider Business Mailing Address
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Address Line | 1450 BOYSON RD STE C-2B
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City | HIAWATHA
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State | IA
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Zip | 52233-2323
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Country | US
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Telephone | 319-474-5779
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Fax | 319-214-6750
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 109888
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License Number State | IA
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