Individual
JENNIFER DEN BOER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(800) 242-5101
Mailing address
1610 13TH AVE, ROCK VALLEY, IA 51247-1153
(712) 470-7381
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
091726
IA
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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