Most Relevant Information
Provider Data
| NPI Number: | 1003265067 |
| Provider Name: | NOLAN MARIE VITZTHUM MSW, LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | LCSW-1159 |
Most Important Dates
| Enumeration Date: | 06/09/2016 |
| Last Updated: | 08/03/2024 |
Provider Practice Location
1721 ELMHURST AVE
HUMBOLDT
IA
505481882
Practice Location Phone/Fax
| Phone: | 3072748705 |
| Fax: | 5154208303 |
Provider Mailing Location
1721 ELMHURST AVE
HUMBOLDT
IA
505481882
Provider Mailing Phone/Fax
| Phone: | 5154502583 |
| Fax: |