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1861817462
LISA BALK
DAVENPORT, IA
NPI
1861817462
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 001586)
Enumeration Date
2014-02-19
Last Update Date
2023-08-22
Business Address
LISA BALK
1140 E KIMBERLY RD UNIT 1B
DAVENPORT, IA 52807-1748
Phone number: 563-200-3154
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Mailing Address
LISA BALK
1140 E KIMBERLY RD STE 110
DAVENPORT, IA 52807-1748
Phone number: 563-200-3154
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