Individual
STEPHEN E. MARINAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-6438
Mailing address
1441 W CENTRAL PARK AVE, DAVENPORT, IA 52804-1707
(563) 383-1900
(563) 884-6438
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
01194
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
420716337
—
IA
Enumeration date
02/08/2007
Last updated
05/22/2008
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