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1003285354
STACEY CRANDALL
DES MOINES, IA
NPI
1003285354
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-16
Last Update Date
2015-09-16
Business Address
-- STACEY CRANDALL
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6500
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Mailing Address
-- STACEY CRANDALL
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6500
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