Individual
DENA PRAINITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 N 17TH ST, KEOKUK, IA 52632-3452
(319) 768-5858
(319) 313-8398
Mailing address
1706 W AGENCY RD, WEST BURLINGTON, IA 52655-1667
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007267
IA
Other
Enumeration date
12/22/2016
Last updated
12/22/2016
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