Most Relevant Information
Provider Data
| NPI Number: | 1003531955 |
| Provider Name: | BRIANNA OETKEN LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 096658 |
Most Important Dates
| Enumeration Date: | 10/04/2022 |
| Last Updated: | 10/04/2022 |
Provider Practice Location
1217 HIGHWAY 10 W
ORANGE CITY
IA
510411500
Practice Location Phone/Fax
| Phone: | 7127079222 |
| Fax: | 7127079220 |
Provider Mailing Location
1217 HIGHWAY 10 W
ORANGE CITY
IA
510411500
Provider Mailing Phone/Fax
| Phone: | 7127079222 |
| Fax: | 7127079220 |