Jonathan S Fasse

NPI #1043796295 in Des Moines, Iowa

Provider Information

NPI Number: 1043796295
Entity Type: Individual
Name: Jonathan S Fasse
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Social Worker
Enumeration Date: Jul 11, 2018
Last Updated: Jul 11, 2018

Practice Location

Address: 2340 EUCLID AVE
City: Des Moines
State: Iowa
ZIP Code: 50310-5702
Phone: (515) 263-0019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X	Primary

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