Individual
JENNIFER L MOATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LBSW
Contact information
Practice address
408 5TH ST NW, ALTOONA, IA 50009-1427
(515) 971-7605
Mailing address
408 5TH ST NW, ALTOONA, IA 50009-1427
(515) 971-7605
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04652
IA
Other
Enumeration date
07/27/2008
Last updated
08/01/2008
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