Individual
MS. JILL BULLOCK KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W.
Contact information
Practice address
4014 160TH ST, URBANDALE, IA 50323-2268
(515) 491-6538
Mailing address
4014 160TH STREET, URBANDALE, IA 50323
(515) 491-6538
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1276
IA
Other
Enumeration date
03/18/2008
Last updated
12/14/2015
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