Individual
COURTNEY JALENE VESTAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
215 E WASHINGTON ST, CLARINDA, IA 51632-1625
(712) 542-3501
Mailing address
39864 OMAN AVE, EMERSON, IA 51533-4028
(402) 670-6147
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
107396
IA
Other
Enumeration date
09/03/2021
Last updated
09/03/2021
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