Individual
JONATHAN S FASSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 263-0019
Mailing address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 263-0019
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
IA
Other
Enumeration date
07/11/2018
Last updated
07/11/2018
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