Individual
LYNETTE GROOTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2340 EUCLID AVE, DES MOINES, IA 50310-5702
(515) 263-0019
(515) 263-0019
Mailing address
2340 EUCLID AVE, DES MOINES, IA 50310
(515) 263-0019
(515) 263-0019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
000191
IA
Other
Enumeration date
09/01/2016
Last updated
09/01/2016
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