Individual
MS. JAMIE MARIE LANUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
36 S FREDERICK AVE, OELWEIN, IA 50662-2305
(319) 283-5774
(319) 283-5775
Mailing address
36 S FREDERICK AVE, P.O. BOX 113, OELWEIN, IA 50662-2305
(319) 283-5774
(319) 283-5775
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06155
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06155
LISW
IA
Enumeration date
12/12/2006
Last updated
07/08/2007
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