Individual
MS. JONI LYNN DITTMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
718 BRIDGE AVE, DAVENPORT, IA 52803-5620
(563) 320-4395
(563) 285-4014
Mailing address
12090 240TH ST, ELDRIDGE, IA 52748-9400
(563) 320-4395
(563) 285-4014
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00882
IA
Other
Enumeration date
04/10/2008
Last updated
04/10/2008
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