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1629808696
CONNOR XAVIER LUCILLIS
BETTENDORF, IA
NPI
1629808696
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: IA 125567)
Enumeration Date
2024-08-05
Last Update Date
2024-08-13
Business Address
CONNOR XAVIER LUCILLIS LMSW
3350 UTICA RIDGE RD
BETTENDORF, IA 52722-1616
Phone number: 309-507-3330
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Mailing Address
CONNOR XAVIER LUCILLIS LMSW
3312 CHATEAU KNLS
BETTENDORF, IA 52722-3469
Phone number: 309-507-3330
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