Provider Information for 1770840837
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SONYA DEE WEBER-MADISON LCSW
Sex: Female
NPI: 1770840837
Last Updated: 2023-07-03
Certification Date: 2023-07-03
Certification Date: 2023-07-03
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1770840837 | ||||||||||||
| Enumeration Date | 2012-04-13 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1035 LINCOLN RD STE 210 BETTENDORF, IA 52722-4149 United States Phone: 563-293-6989 | Fax:563-200-1240 | ||||||||||||
| Primary Practice Address | 1035 LINCOLN RD STE 210 BETTENDORF, IA 52722-4149 United States Phone: 563-293-6989 | Fax:563-200-1240 | ||||||||||||
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