Individual
JOHANNA LYN GRENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 263-0019
(515) 263-0048
Mailing address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 263-0019
(515) 263-0048
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
095201
IA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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