Individual
JESSICA LUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2441 CORAL CT STE 4, CORALVILLE, IA 52241-2872
(319) 853-8015
Mailing address
2441 CORAL CT STE 4, CORALVILLE, IA 52241-2872
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
118586
IA
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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