Individual
JESSICA TRAGER MENDEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
201 E 11TH ST, SPENCER, IA 51301-4436
(712) 262-2922
Mailing address
600 LINCOLN RD, STORM LAKE, IA 50588-1972
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
008282
IA
Other
Enumeration date
07/25/2013
Last updated
07/25/2013
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