Individual
JENNIFER LYNN CREW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
600 4TH ST, SUITE 501, SIOUX CITY, IA 51101-1750
(712) 234-0220
(712) 234-0225
Mailing address
3320 W 4TH ST, SIOUX CITY, IA 51103-3200
(712) 202-0777
(712) 202-0780
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
02809
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
I13094006
MEDICARE PTAN
IA
Enumeration date
04/02/2007
Last updated
06/12/2018
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