Provider Demographics
NPI:1285380527
Name:DUFOE, VALERIE LIN (MSW, LISW)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:LIN
Last Name:DUFOE
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1003 NORTHVIEW DR
Mailing Address - Street 2:
Mailing Address - City:CENTER POINT
Mailing Address - State:IA
Mailing Address - Zip Code:52213-9451
Mailing Address - Country:US
Mailing Address - Phone:319-360-9558
Mailing Address - Fax:
Practice Address - Street 1:1003 NORTHVIEW DR
Practice Address - Street 2:
Practice Address - City:CENTER POINT
Practice Address - State:IA
Practice Address - Zip Code:52213-9451
Practice Address - Country:US
Practice Address - Phone:319-360-9558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-24
Last Update Date:2022-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA04391104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker