| Jennifer L. Streets Gladwin, Llc | |
|
3481 Utica Ridge Rd Bettendorf IA 52722-1617 | |
| (309) 507-1791 | |
| Not Available |
| Full Name | Jennifer L. Streets Gladwin, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3481 Utica Ridge Rd, Bettendorf, Iowa |
| Authorized Official Name and Position | Jennifer L. Streets Gladwin (OWNER) |
| Authorized Official Contact | 3095071791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer L. Streets Gladwin, Llc 3481 Utica Ridge Rd Bettendorf IA 52722-1617 Ph: (309) 507-1791 | Jennifer L. Streets Gladwin, Llc 3481 Utica Ridge Rd Bettendorf IA 52722-1617 Ph: (309) 507-1791 |
| NPI Number | 1609151158 |
|---|---|
| Provider Enumeration Date | 10/17/2011 |
| Last Update Date | 10/17/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609151158 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001200 (Iowa) | Primary |
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