Individual
JACKI KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
609 53RD ST, WEST DES MOINES, IA 50266-7247
(563) 506-2124
Mailing address
609 53RD ST, WEST DES MOINES, IA 50266-7247
(562) 506-2124
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091232
IA
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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