| Doctor Name: | MRS. KIMBERLY JO ALLEN |
| NPI Number: | 1003040197 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 149.013579 |
| Business Practice Address: | 4703 44th St Rock Island, IL - 612017189 |
| Business Phone Number: | 3097889581 |
| Business Fax Number: | 3097889608 |
| Mailing Address: | 509 W Oak St, ELDRIDGE |
| State: | IA |
| Postal Code: | 527481573 |
| Phone Number: | 5633439655 |
| Fax Number: | |
| NPI Enumeration Date: | 05/05/2009 |
| NPI Last Update Date: | 05/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 149.013579 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |