Individual
CONNOR XAVIER LUCILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
5403 VICTORIA AVE, DAVENPORT, IA 52807-3925
(563) 296-0877
Mailing address
3312 CHATEAU KNLS, BETTENDORF, IA 52722-3469
(309) 507-3330
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
125567
IA
Other
Enumeration date
08/05/2024
Last updated
03/03/2026
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