| Dba Genesis Eap | |
|
430 W 35th St Davenport IA 52806-5820 | |
| (563) 386-4004 | |
| (563) 386-4026 |
| Full Name | Dba Genesis Eap |
|---|---|
| Speciality | Social Worker |
| Location | 430 W 35th St, Davenport, Iowa |
| Authorized Official Name and Position | Mark J. Kleinschmidt (VICE PRESIDENT FINANCE) |
| Authorized Official Contact | 5634216513 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dba Genesis Eap 430 W 35th St Davenport IA 52806-5820 Ph: (563) 386-4004 | Dba Genesis Eap 430 W 35th St Davenport IA 52806-5820 Ph: (563) 386-4004 |
| NPI Number | 1780898809 |
|---|---|
| Provider Enumeration Date | 05/09/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780898809 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 104100000X | Social Worker | (* (Not Available)) | Primary |
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