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NPI Code Detail

MEDICARE: MS. YVETTE MARIE COOK-SAEUGLING LISW

MEDICARE: MS. YVETTE MARIE COOK-SAEUGLING 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 Worker01658IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
117924OTHERIAWELLMARK BCBS

General Provider Information

NPI Number : 1679524532
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YVETTE MARIE COOK-SAEUGLING LISW
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 : 05/15/2006
Last Update Date : 07/08/2007

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