Individual
ALLISON VIRGINIA KOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSWM
Contact information
Practice address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2031
(309) 779-2027
Mailing address
4600 3RD ST, MOLINE, IL 61265-6106
(309) 779-2031
(309) 779-2027
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
150011986
IL
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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