Individual
MRS. MARY T HUGHES-PAULLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2102 E 38TH ST, PSYCHOLOGY HEALTH GROUP, DAVENPORT, IA 52807-1135
(563) 354-4049
(563) 359-4069
Mailing address
2102 E 38TH ST, PSYCHOLOGY HEALTH GROUP, DAVENPORT, IA 52807-1135
(563) 354-4049
(563) 359-4069
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
00097
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1108750000
—
IA
Enumeration date
02/21/2006
Last updated
04/25/2013
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