Individual
MS. KIMBERLY TALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3375 LAKE RIDGE DR, DUBUQUE, IA 52003-7864
(563) 207-8932
Mailing address
2345 POPLAR ST, DUBUQUE, IA 52001-4136
(515) 520-7877
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
093770
IA
1041C0700X
Clinical Social Worker
Primary
093770
IA
1041C0700X
Clinical Social Worker
—
—
Other
Enumeration date
01/13/2015
Last updated
10/24/2019
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