Individual
JILL MARIE WAGEMESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
212 W DALE ST STE 100, WATERLOO, IA 50703-1954
(319) 235-3550
Mailing address
164 W DALE ST STE 6B, WATERLOO, IA 50703-1925
(319) 226-2170
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100303
IA
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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