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Organization
JENNIFER L. STREETS GLADWIN, LLC
Active
Organization
JENNIFER L. STREETS GLADWIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER L. STREETS GLADWIN LCPC, LMHC (OWNER)
(309) 507-1791
Entity
Organization
Contact information
Practice address
3481 UTICA RIDGE RD, BETTENDORF, IA 52722-1617
(309) 507-1791
Mailing address
3481 UTICA RIDGE RD, BETTENDORF, IA 52722-1617
(309) 507-1791
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001200
IA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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