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Individual

TESSA MARIE SWACKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700
Mailing address
620 8TH ST, DES MOINES, IA 50309-1539
(515) 697-5700

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T22164
IA
171M00000X
Case Manager/Care Coordinator
Y5011232
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Y5011232
DRIVER'S LICENSE
CA
Enumeration date
06/10/2018
Last updated
10/06/2022
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