Individual
LETA JAQUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
210 JONES ST STE 108, DUBUQUE, IA 52001-7615
(319) 774-2045
Mailing address
927 N 2ND ST STE B, CLINTON, IA 52732-3750
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/06/2023
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