Individual
JESSICA TOMKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
103 E STATE ST STE 301, MASON CITY, IA 50401-3309
(641) 421-2089
Mailing address
103 E STATE ST STE 301, MASON CITY, IA 50401-3309
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
091959
IA
Other
Enumeration date
08/14/2018
Last updated
08/14/2018
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