Individual
KATHERINE ANN DEWALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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