Individual
MRS. PAMELA SUE TEKIPPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1309 S BROADWAY ST, TOLEDO, IA 52342-2307
(641) 484-5234
(641) 484-5632
Mailing address
1309 S BROADWAY ST, PO BOX 7, TOLEDO, IA 52342-2307
(641) 484-5234
(641) 484-5632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01316
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031484
—
IA
01
—
1164527248
WELLMARK BLUE CROSS/BLUE SHIELD
—
Enumeration date
10/06/2009
Last updated
10/06/2009
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