Individual
JILL DANIELLE GRONEWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
909 W PLEASANT ST, KNOXVILLE, IA 50138-2743
(641) 842-4357
Mailing address
800 E INDEPENDENCE ST, PELLA, IA 50219-9640
(641) 780-8254
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
075369
IA
Other
Enumeration date
10/27/2014
Last updated
10/27/2014
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