Individual
JAN RENA LEBAHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3159
(641) 672-3259
Mailing address
1229 C AVE E, OSKALOOSA, IA 52577-4246
(641) 672-3159
(641) 672-3259
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
03246
IA
Other
Enumeration date
06/30/2011
Last updated
12/26/2013
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