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Individual

JACOB STASTNY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMSW

Contact information

Practice address
918 SE 11TH ST, DES MOINES, IA 50309-5324
(515) 282-9377
Mailing address
918 SE 11TH ST, DES MOINES, IA 50309-5324

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
086933
IA

Other

Enumeration date
07/31/2017
Last updated
07/31/2017
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