Individual
JERRY RAY CHRISTENSEN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
200 HAWKINS DRIVE, IOWA CITY, IA 52242-1082
(319) 354-6479
(319) 354-6291
Mailing address
200 HAWKINS DRIVE, IOWA CITY, IA 52242-1082
(319) 354-6479
(319) 354-6291
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00473
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
33721
WELLMARK BCBS
IA
Enumeration date
09/20/2005
Last updated
07/08/2007
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