Individual
MISS STEPHANIE KAY MARIE DORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2611 W 35TH ST, DAVENPORT, IA 52806-5222
(563) 370-4355
Mailing address
2326 16TH ST, MOLINE, IL 61265-4824
(309) 283-1301
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
149.022170
IL
Other
Enumeration date
05/31/2020
Last updated
05/31/2020
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