Individual
MS. SUSAN REBECCA EARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 468-2300
Mailing address
2800 EASTERN AVE, DAVENPORT, IA 52803-2012
(563) 323-3789
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05707
IA
Other
Enumeration date
08/31/2006
Last updated
05/16/2012
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