JONATHAN BACKSTROM, LLC

DAVENPORT, IA
NPI1356932073
Entity TypeOrganization
Authorized ContactJON BACKSTROM
Therapist
563-650-5863
Organization Subpart ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2021-01-27
Last Update Date2021-01-27
Business Address
JONATHAN BACKSTROM, LLC
2625 W 36TH ST
DAVENPORT, IA 52806-5224
Phone number: 563-650-5863
Mailing Address
JONATHAN BACKSTROM, LLC
2625 W 36TH ST
DAVENPORT, IA 52806-5224
Phone number: 563-650-5863
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