Individual
JOHN FITZGERALD MCINNERNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW/CADC
Contact information
Practice address
9 N 4TH AVE, MARSHALLTOWN, IA 50158-1836
(641) 752-1585
(641) 752-9665
Mailing address
328 MAIN ST, STE 214, AMES, IA 50010-6191
(515) 520-9703
(515) 608-4666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
072644
IA
Other
Enumeration date
06/23/2014
Last updated
08/06/2019
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