Individual
TINA RECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
721 S 5TH ST, MANCHESTER, IA 52057-2048
(563) 927-6700
(563) 627-6703
Mailing address
1789 250TH AVE, EARLVILLE, IA 52041-8646
(319) 210-0314
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
117584
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117584
STATE LICENSE
IA
Enumeration date
05/16/2023
Last updated
05/16/2023
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