Individual
JACKIE ANN SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1111 N HAYNES AVE, CENTERVILLE, IA 52544-1133
(641) 437-1051
(641) 437-1404
Mailing address
1111 N HAYNES AVE, CENTERVILLE, IA 52544-1133
(641) 437-1051
(641) 437-1404
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05752
IA
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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