Individual
ELIZABETH CRYSTAL PLOENSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
5403 VICTORIA AVE, DAVENPORT, IA 52807-3925
(563) 296-0877
Mailing address
5403 VICTORIA AVE, DAVENPORT, IA 52807-3925
(563) 296-0877
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
12/30/2024
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