Individual
NICOLE CESAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 445-0557
Mailing address
132 W MAYNE ST, BLUE GRASS, IA 52726-9773
(563) 210-0666
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
081706
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081706
BUREAU OF PROFESSIONAL LICENSURE
IA
Enumeration date
06/07/2016
Last updated
06/07/2016
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