Individual
KATHY JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
(563) 327-0172
(563) 324-2437
Mailing address
1202 W 3RD ST, DAVENPORT, IA 52802-1344
(563) 327-0172
(563) 324-2437
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05647
IA
Other
Enumeration date
01/24/2014
Last updated
01/24/2014
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