David Neal Innis, LPN, LICSW
NPI #1245540368 in Janesville, Wisconsin
Provider Information
- NPI Number
- 1245540368
- Entity Type
- Individual
- Name
- David Neal Innis, LPN, LICSW
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN, LICSW
- Enumeration Date
- Oct 8, 2010
- Last Updated
- Oct 8, 2010
Practice Location
- Address
- 320 PARK AVE
- City
- Janesville
- State
- Wisconsin
- ZIP Code
- 53548-4620
- Phone
- (608) 359-3357
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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