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Contact Information

MARY J VONTERSCH HANNO, MSW LISW
3133 FLOYD BLVD
SIOUX CITY, IA51108
 Phone: 712-239-0392
 Fax: 712-239-0824
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for MARY J VONTERSCH HANNO · (Female)

NPI # 1336207976
Status Active
Credentials MSW LISW
Entity Individual
Enumeration date 12/05/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IA License # 762
  • IA Medicaid 0242461
  • NE Medicaid 073590
  • Other 41938 BCBS
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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