JOHN TERRY FANDRICH

ANKENY, IA
NPI1134284185
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker Clinical
(Licence: IA  00083)
Enumeration Date2006-12-27
Last Update Date2007-07-08
Business Address
MR. JOHN TERRY FANDRICH LISW
501 SW ANKENY RD
ANKENY, IA 50023-9702
Phone number: 515-289-2272
Mailing Address
MR. JOHN TERRY FANDRICH LISW
1111 UNIVERSITY AVE
DES MOINES, IA 50314-2329
Phone number: 515-288-9181
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