Individual
JOYCE K KRUKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1327 6TH SW, MASON CITY, IA 50401-4815
(641) 423-0711
(641) 423-0713
Mailing address
1327 6TH SW, MASON CITY, IA 50401-4815
(641) 423-0711
(641) 423-0713
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
00889
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0249656
—
IA
01
—
22068
MIDLANDS CHOICE
IA
Enumeration date
03/09/2007
Last updated
01/14/2008
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