Individual
MICHELLE DENISE FENELON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3481
(515) 438-3489
Mailing address
1251 334TH ST, WOODWARD, IA 50276-7509
(515) 438-3481
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05284
IA
Other
Enumeration date
10/15/2020
Last updated
10/15/2020
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