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Individual

JACQUELYN KAY GOEBEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
805 CHARLES ST, MASONVILLE, IA 50654-8516
(319) 361-4867
(563) 927-3939
Mailing address
805 CHARLES ST, MASONVILLE, IA 50654-8516
(319) 361-4867
(563) 927-3939

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
04543
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
600931888
IA
Enumeration date
07/23/2010
Last updated
04/08/2025
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