Individual
MRS. JACKIE LYNN FOBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
124 2ND ST NE, WAVERLY, IA 50677-1762
(319) 344-4994
Mailing address
104 PARKVIEW RD, DENVER, IA 50622-1117
(319) 242-1128
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2208
IA
Other
Enumeration date
07/31/2025
Last updated
07/31/2025
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