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Individual

DEENA LYNETTE DHUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMSW

Contact information

Practice address
1414 W LOMBARD ST, DAVENPORT, IA 52804-2148
(563) 326-6431
Mailing address
1414 W LOMBARD ST, DAVENPORT, IA 52804-2148
(563) 326-6431

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
150.105780
IL
104100000X
Social Worker
150.105780
IL
1041C0700X
Clinical Social Worker
150.105780
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
420698225
IA
Enumeration date
05/08/2023
Last updated
10/01/2025
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