Individual
GINA MAUREEN JANSEN
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
505 UNION ST, PELLA, IA 50219-1719
(641) 620-5058
(641) 620-5080
Mailing address
505 UNION ST, PELLA, IA 50219-1719
(641) 620-5058
(641) 620-5080
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04768
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04768
LICENSE
IA
Enumeration date
05/05/2006
Last updated
07/08/2007
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