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Individual

JENNA LEE GOLDSMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5945 ROCKWELL DR NE, CEDAR RAPIDS, IA 52402-7360
(319) 382-9318
Mailing address
1285 120TH ST, STRAWBERRY POINT, IA 52076-9024
(563) 920-2072

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
Primary
106S00000X
Behavior Technician

Other

Enumeration date
02/23/2021
Last updated
03/11/2024
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