Individual
MRS. MARY J VONTERSCH HANNO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW LISW
Contact information
Practice address
3133 FLOYD BLVD, SIOUX CITY, IA 51108
(712) 239-0392
(712) 239-0824
Mailing address
3133 FLOYD BLVD, SIOUX CITY, IA 51108
(712) 239-0392
(712) 239-0824
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
762
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0242461
—
IA
05
—
073590
—
NE
01
—
41938
BCBS
—
Enumeration date
12/05/2006
Last updated
07/08/2007
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