Individual
AMANDA MARIE JARAMILLO AYON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
803 3RD AVE, COUNCIL BLUFFS, IA 51501-4101
(712) 352-0917
Mailing address
2620 1ST AVE S APT 212, ALTOONA, IA 50009-2461
(712) 621-5985
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086196
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1210140
—
IA
Enumeration date
09/26/2018
Last updated
09/26/2018
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