Individual
MISS JENNY ROGERS GANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2016 HWY BLVD SOUTHE STE., SPENCER, IA 51301-4342
(712) 262-1808
Mailing address
PO BOX 680, SPENCER, IA 51301
(712) 580-3882
(712) 580-3932
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06289
IA
Other
Enumeration date
07/12/2007
Last updated
08/06/2010
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