Individual
JENNIFER HOLLY GRADDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
123 N LINN ST STE 2D, IOWA CITY, IA 52245-2147
(319) 541-7975
Mailing address
123 N LINN ST STE 2D, IOWA CITY, IA 52245-2147
(319) 541-7975
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007534
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600760369
—
IA
Enumeration date
11/17/2011
Last updated
01/31/2017
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