Individual
MR. JACOB BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5506 N PINE ST, DAVENPORT, IA 52806-2631
(563) 723-6900
Mailing address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
(563) 349-9512
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
007810
IA
Other
Enumeration date
04/12/2017
Last updated
04/12/2017
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