Individual
TRAVIS SEMMENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
200 4TH AVE W, GRINNELL, IA 50112-1833
(641) 236-6137
(641) 236-0206
Mailing address
200 4TH AVE W, PO BOX 13, GRINNELL, IA 50112-1833
(641) 236-6137
(641) 236-0206
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
007270
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0069468
—
IA
Enumeration date
05/06/2009
Last updated
05/06/2009
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