Individual
JESSICA DAWN STREETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 HICKMAN RD, DES MOINES, IA 50314-1597
(515) 282-5752
Mailing address
16565 118TH AVE, INDIANOLA, IA 50125-8843
(515) 473-4888
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
090758
IA
Other
Enumeration date
05/19/2018
Last updated
05/19/2018
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