Individual
MRS. ANNIKA KRISTINE OMELIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 359-6633
(563) 359-5261
Mailing address
1510 E RUSHOLME ST, DAVENPORT, IA 52803-2463
(563) 359-6633
(563) 359-5261
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
007439
IA
Other
Enumeration date
03/20/2012
Last updated
11/01/2013
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