Individual
JESSICA GOODLAXSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
24 1ST ST NW, LE MARS, IA 51031-3552
(712) 222-1459
Mailing address
3650 GLEN OAKS BLVD, SIOUX CITY, IA 51104-1546
(712) 222-1459
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
082967
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100097940A
—
KS
Enumeration date
04/09/2014
Last updated
09/10/2025
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