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1932623022
JACOB STASTNY
DES MOINES, IA
NPI
1932623022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 086933)
Enumeration Date
2017-07-31
Last Update Date
2017-07-31
Business Address
JACOB STASTNY LMSW
918 SE 11TH ST
DES MOINES, IA 50309-5324
Phone number: 515-282-9377
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Mailing Address
JACOB STASTNY LMSW
918 SE 11TH ST
DES MOINES, IA 50309-5324
Phone number:
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