Individual
JESSICA M LANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1721 ELMHURST AVE, HUMBOLDT, IA 50548-1882
(515) 412-0620
Mailing address
859 N 20TH ST, FORT DODGE, IA 50501-2749
(515) 412-0620
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
092566
IA
1041C0700X
Clinical Social Worker
P012823
NC
Other
Enumeration date
08/09/2018
Last updated
01/07/2026
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