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Individual

JENNIFER A O'HARE-MARKER

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
LISW

Contact information

Practice address
4455 E 56TH ST, DAVENPORT, IA 52807-2995
(563) 355-2577
(563) 355-4015
Mailing address
865 LINCOLN RD, STE L10, BETTENDORF, IA 52722-4190
(563) 355-9191
(563) 355-3419

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
06033
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0448126
IA
01
33486
WELLMARK HEALTH PLAN
IA
01
IA01H4
JOHN DEERE HEALTH PLAN
Enumeration date
10/06/2005
Last updated
07/09/2007
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