Individual
THERESA BROCKMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 MAIN ST, SIDNEY, IA 51652-8036
(515) 851-2630
Mailing address
1720 N 16TH ST STE K, COUNCIL BLUFFS, IA 51501-0109
(712) 256-4420
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/08/2025
Last updated
04/08/2025
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