Individual
JANA BETH VINK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
404 JEFFERSON ST, PELLA, IA 50219-1257
(641) 628-3150
(641) 628-7241
Mailing address
404 JEFFERSON ST, PELLA, IA 50219-1257
(641) 628-3150
(641) 628-7241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007955
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007955
IOWA LICENSE
IA
Enumeration date
12/21/2012
Last updated
12/21/2012
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