Individual
JENNIFER HAIDAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6200 AURORA AVE STE 305E, URBANDALE, IA 50322-2863
(515) 306-4590
Mailing address
465 52ND PL, WEST DES MOINES, IA 50265-2897
(151) 530-6459
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
100931
IA
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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