Individual
KELLY HENKELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
7085 NW BEAVER DR, JOHNSTON, IA 50131-1249
(515) 276-3473
Mailing address
3101 COTTAGE GROVE AVE, APT 7, DES MOINES, IA 50311-3843
(630) 981-1514
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081051
IA
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
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