Individual
JESSICA LYNN VAN VARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 842-3101
(641) 828-5384
Mailing address
1515 W PLEASANT ST, KNOXVILLE, IA 50138-3399
(641) 842-3101
(641) 828-5384
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06376
IA
Other
Enumeration date
08/01/2006
Last updated
07/08/2007
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