Organization
PRIME COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINE MARIE DEAN LISW (PRESIDENT)
(563) 320-3384
Entity
Organization
Contact information
Practice address
6751 SILVERCREEK DR, DAVENPORT, IA 52806-1676
(563) 320-3384
Mailing address
6751 SILVERCREEK DR, DAVENPORT, IA 52806-1676
(563) 320-3384
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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