Doctor Name: | JENNIFER A O'HARE-MARKER |
NPI Number: | 1013905892 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LISW |
License Number: | 06033 |
Business Practice Address: | 4455 E 56th St Davenport, IA - 528072995 |
Business Phone Number: | 5633552577 |
Business Fax Number: | 5633554015 |
Mailing Address: | 865 Lincoln Rd, Ste L10 BETTENDORF |
State: | IA |
Postal Code: | 527224190 |
Phone Number: | 5633559191 |
Fax Number: | 5633553419 |
NPI Enumeration Date: | 10/06/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 06033 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |