Individual
JENNIFER PACHECO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
111 W 15TH ST, DAVENPORT, IA 52803-4609
(563) 322-7419
(563) 322-5339
Mailing address
111 W 15TH ST, DAVENPORT, IA 52803-4609
(563) 322-7419
(563) 322-5339
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/07/2009
Last updated
07/07/2009
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