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Individual

LISA BALK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1140 E KIMBERLY RD UNIT 1B, DAVENPORT, IA 52807-1748
(563) 200-3154
(833) 228-5356
Mailing address
1140 E KIMBERLY RD STE 110, DAVENPORT, IA 52807-1748
(563) 200-3154
(833) 228-5356

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001586
IA

Other

Enumeration date
02/19/2014
Last updated
08/22/2023
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