Most Relevant Information
Provider Data
| NPI Number: | 1003040197 |
| Provider Name: | KIMBERLY JO ALLEN LCSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 149.013579 |
Most Important Dates
| Enumeration Date: | 05/05/2009 |
| Last Updated: | 05/05/2009 |
Provider Practice Location
4703 44TH ST
ROCK ISLAND
IL
612017189
Practice Location Phone/Fax
| Phone: | 3097889581 |
| Fax: | 3097889608 |
Provider Mailing Location
509 W OAK ST
ELDRIDGE
IA
527481573
Provider Mailing Phone/Fax
| Phone: | 5633439655 |
| Fax: |