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1104499565
MARY WISNIESKI
DAVENPORT, IA
NPI
1104499565
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 095257)
Enumeration Date
2021-07-22
Last Update Date
2021-07-22
Business Address
MARY WISNIESKI LMSW
2208 E 52ND ST
DAVENPORT, IA 52807-2726
Phone number: 515-975-8636
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Mailing Address
MARY WISNIESKI LMSW
2208 E 52ND ST
DAVENPORT, IA 52807-2726
Phone number: 515-975-8636
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