Individual
JENNIFER KNAACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
151 MARION BLVD, MARION, IA 52302-3135
(319) 363-2678
Mailing address
2923 JAMES PKWY SW, CEDAR RAPIDS, IA 52404-7171
Taxonomy
Speciality
Code
Description
License number
State
225C00000X
Rehabilitation Counselor
Primary
00118889
IA
Other
Enumeration date
07/18/2019
Last updated
07/18/2019
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