Organization
PROJECT AGAPE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HECTOR A MENESES III LCSW (OWNER)
(563) 639-9545
Entity
Organization
Contact information
Practice address
510 E 15 STREET, DAVENPORT, IA 52803
(563) 639-9545
Mailing address
510 E 15 STREET, DAVENPORT, IA 52803
(563) 639-9545
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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