Individual
HEATHER SNYDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1523 S FAIRMOUNT ST, DAVENPORT, IA 52802-3644
(563) 322-2667
Mailing address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2031
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
31611
IL
Other
Enumeration date
08/31/2019
Last updated
08/31/2019
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