Provider Information for 1184891293
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Ms. JEANETTE RENEE TOBIN PLMHP, MSW
Other Names:Former Name:Ms. JEANETTE RENEE CLINESex: Female
NPI: 1184891293
Last Updated: 2010-11-16
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1184891293 | ||||||||
| Enumeration Date | 2008-05-08 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 625 COURT ST SIOUX CITY, IA 51101-1919 United States Phone: 712-252-3871 | Fax:712-252-3157 | ||||||||
| Primary Practice Address | 625 COURT STREET SIOUX CITY, IA 51101-1917 United States Phone: 712-252-3871 | Fax:712-252-3157 | ||||||||
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