Individual
MR. JOHN TERRY FANDRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
501 SW ANKENY RD, ANKENY, IA 50023-9702
(515) 289-2272
(515) 289-0126
Mailing address
1111 UNIVERSITY AVE, DES MOINES, IA 50314-2329
(515) 288-9181
(515) 289-9109
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00083
IA
Other
Enumeration date
12/27/2006
Last updated
07/08/2007
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