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1588040190
JON BACKSTROM
DAVENPORT, IA
NPI
1588040190
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 077996)
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
-- JON BACKSTROM M.S. ED., LMHC
1202 W 3RD ST
DAVENPORT, IA 52802-1344
Phone number: 563-327-0174
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Mailing Address
-- JON BACKSTROM M.S. ED., LMHC
1202 W 3RD ST
DAVENPORT, IA 52802-1344
Phone number:
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