Individual
ROBERTA BREWER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 328-5690
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 328-5690
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
113324
IA
1041C0700X
Clinical Social Worker
149.028164
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113324
STATE LICENSE
IA
Enumeration date
06/30/2022
Last updated
01/05/2026
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