Individual
JILLYN M KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
3475 JERSEY RIDGE RD STE 2, DAVENPORT, IA 52807-2293
(319) 481-3534
(563) 213-5615
Mailing address
3475 JERSEY RIDGE RD STE 2, DAVENPORT, IA 52807-2293
(319) 481-3534
(563) 213-5615
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007861
IA
1041C0700X
Clinical Social Worker
149.014677
IL
Other
Enumeration date
05/21/2008
Last updated
12/10/2022
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