Individual
LYNETTE KIRK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2207 E 12TH ST, DAVENPORT, IA 52803-3708
(563) 484-0183
Mailing address
1504 1ST ST, COAL VALLEY, IL 61240-9334
(309) 721-0653
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007564
IA
1041C0700X
Clinical Social Worker
149.018940
IL
Other
Enumeration date
08/25/2017
Last updated
03/03/2026
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