Most Relevant Information
Provider Data
| NPI Number: | 1003284092 |
| Provider Name: | JUANA MEDINA PALMER LISW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 077222 |
Most Important Dates
| Enumeration Date: | 09/08/2015 |
| Last Updated: | 07/03/2019 |
Provider Practice Location
625 COURT ST
SIOUX CITY
IA
511011919
Practice Location Phone/Fax
| Phone: | 7122523871 |
| Fax: | 7122221438 |
Provider Mailing Location
625 COURT ST
PO BOX 1917
SIOUX CITY
IA
511011919
Provider Mailing Phone/Fax
| Phone: | 7122523871 |
| Fax: | 7122221438 |