Organization
JULIANNA GONDEK LISW LLC
Active
Other names
Eastern Iowa Family Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANNA GONDEK MSW (OWNER/LISW)
(319) 777-1092
Entity
Organization
Contact information
Practice address
204 GLENN ST SE STE 2, MOUNT VERNON, IA 52314-1501
(319) 777-1092
(319) 449-3585
Mailing address
204 GLENN ST SE STE 2, MOUNT VERNON, IA 52314-1501
(319) 777-1092
(319) 449-3585
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007320
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0113927
—
IA
Enumeration date
05/26/2017
Last updated
07/21/2022
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