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Individual

MRS. JANELLE LEIGH ENGSTROM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
530 SIERRA DR, BURLINGTON, IA 52601-9304
(612) 750-4027
(319) 433-3870
Mailing address
530 SIERRA DR, BURLINGTON, IA 52601-9304
(612) 750-4027
(319) 433-3870

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
006997
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
207414
MEDICARE GROUP NO.
Enumeration date
07/17/2006
Last updated
03/16/2017
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