Individual
STEFANIE KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2031
Mailing address
4718 WESTERN AVE, DAVENPORT, IA 52806-4138
(563) 570-4094
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/30/2024
Last updated
08/30/2024
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