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Organization

REVOLUTION COUNSELING SERVICES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KARI LEE STEARNS-LAMB LCSW, LISW (OWNER/PROVIDER)
(309) 781-4053
Entity
Organization

Contact information

Practice address
601 BRADY ST STE 204, DAVENPORT, IA 52803-5251
(309) 781-4053
(309) 792-2440
Mailing address
601 BRADY ST STE 204, DAVENPORT, IA 52803-5251
(309) 781-4053
(309) 792-2440

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
078821
IA
1041C0700X
Clinical Social Worker
149019131
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1831565290
IA
Enumeration date
07/09/2018
Last updated
07/09/2018
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