Individual
MR. JERRY D NOBLE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1003 GRAND AVE, WEST DES MOINES, IA 50265-3502
(515) 267-1003
(515) 267-0100
Mailing address
1003 GRAND AVE, WEST DES MOINES, IA 50265-3502
(515) 267-1003
(515) 267-0100
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1000
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1045898
—
IA
01
—
53126
BLUE SHIELD
IA
01
—
IA0102
JOHN DEERE HC
IA
Enumeration date
03/14/2006
Last updated
07/08/2007
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