Lookup NPI Numbers from the NPI Registry
NPI Profile for MARVIN FANGMAN in PRAIRIE CITY, IA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X | |||
Clinical |
1041C0700X | 80 | Licensed Clinical Social Worker | |
Social Worker |
104100000X |
| NPI Number | 1245613108 |
|
| Status | Active | |
| Credentials | M.A., IAADC | |
| Entity | Individual | |
| Enumeration date | 07/09/2015 | |
| Last updated | 07/09/2015 - About 11 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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MARVIN FANGMAN
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