Individual
GLENNA R NOCKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
311 S CLARK ST, CARROLL, IA 51401-3038
(712) 794-5435
(712) 792-5751
Mailing address
320 E ADAMS ST, LAKE CITY, IA 51449-1306
(515) 290-3550
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007725
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
007725
IOWA LICENSE
IA
Enumeration date
08/01/2011
Last updated
08/01/2011
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