JACQUELINE FALL

DAVENPORT, IA
NPI1952061715
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-12-21
Last Update Date2021-12-21
Business Address
JACQUELINE FALL BA, MHP
1523 S FAIRMOUNT ST
DAVENPORT, IA 52802-3644
Phone number: 563-322-2667
Mailing Address
JACQUELINE FALL BA, MHP
1523 S FAIRMOUNT ST
DAVENPORT, IA 52802-3644
Phone number: 563-322-2667
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