Individual
DIANN MARIE JENISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3421 SCHOOL ST, DES MOINES, IA 50311-3728
(515) 271-9352
Mailing address
3421 SCHOOL ST, DES MOINES, IA 50311-3728
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00679
IA
Other
Enumeration date
06/12/2008
Last updated
06/12/2008
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