Richard Lc Corfman
Social Worker in Dubuque, IA. Organization (NPI-2).
NPI number1699398917
StatusActive
Last updated in NPPESMay 20, 2020
Details
- NPI
- 1699398917
- Entity type
- Organization (NPI-2)
- Legal business name
- Richard Lc Corfman
- Organization subpart
- No
- Enumeration date
- May 20, 2020
- Certification date
- May 20, 2020
- Last updated
- May 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 104100000X | Social Worker | – | – | Yes |
Practice location
2600 Dodge StSte D4, Unit 25
Dubuque, IA 52003-7161
Phone 563-513-5908 · Fax 563-588-3834
Mailing address
2600 Dodge StSte D4, Unit 25
Dubuque, IA 52003-7161
Phone 563-513-5908 · Fax 563-588-3834
Authorized official
Richard Lc Corfman
Owner Of Entity
5635135908
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