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Individual

CHAD JENSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW, IADC

Contact information

Practice address
23751 HIGHWAY 30, CARROLL, IA 51401-8505
(712) 792-9266
Mailing address
23751 HIGHWAY 30, P.O. BOX 427, CARROLL, IA 51401-8505
(712) 792-9266

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01611
IA

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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