Individual
MR. DAVID NILS BERNSTROM II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 468-2149
Mailing address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 468-2149
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
06485
IA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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