Individual
DANA MIROCHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
4703 44TH ST, ROCK ISLAND, IL 61201-7189
(309) 788-9581
Mailing address
4703 44TH ST, ROCK ISLAND, IL 61201-7189
(309) 788-9581
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
095407
IA
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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