Individual
MRS. KIMBER ANN BROKAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.S.W
Contact information
Practice address
1035 LINCOLN RD, SUITE 202, BETTENDORF, IA 52722-4198
(563) 424-7137
Mailing address
164 15TH AVE, MOLINE, IL 61265-2925
(309) 269-8810
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
04505
IA
Other
Enumeration date
09/11/2007
Last updated
03/15/2015
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