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NPI Code Detail

MEDICARE: MS. DENISE RAE HOKE LISW

MEDICARE: MS. DENISE RAE HOKE 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 Worker06310IA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
106310OTHERIASOCIAL WORK LICENSE

General Provider Information

NPI Number : 1982693362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DENISE RAE HOKE LISW
Provider Business Mailing Address
First Line : 312 E COLLEGE ST STE 200
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1696
Country : US
Telephone Number : 319-339-8231
Fax Number : 319-358-2323
Provider Business Practice Location Address
First Line : 312 E COLLEGE ST STE 200
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1696
Country : US
Telephone Number : 319-339-8231
Fax Number : 319-358-2323
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/18/2005
Last Update Date : 10/08/2008

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