Most Relevant Information
Provider Data
| NPI Number: | 1003341140 |
| Provider Name: | LYDIA ROTHFUSZ LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 007421 |
Most Important Dates
| Enumeration Date: | 04/26/2017 |
| Last Updated: | 04/26/2017 |
Provider Practice Location
215 E WASHINGTON ST
CLARINDA
IA
516321625
Practice Location Phone/Fax
| Phone: | 7125423501 |
| Fax: |
Provider Mailing Location
215 E WASHINGTON ST
CLARINDA
IA
516321625
Provider Mailing Phone/Fax
| Phone: | 7125423501 |
| Fax: |