Individual
JANET MARIE QUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2089 117TH CT, KALONA, IA 52247-4710
(262) 613-5113
Mailing address
2089 117TH CT, KALONA, IA 52247-4710
(262) 613-5113
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
4127-123
WI
Other
Enumeration date
05/02/2023
Last updated
05/02/2023
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