TIA PAINTER

FORT DODGE, IA
NPI1003288853
Former NameTIA HARTZLER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  14104)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
-- TIA PAINTER CADC
1506 31ST AVE N
FORT DODGE, IA 50501-7274
Phone number: 515-576-7261
Mailing Address
-- TIA PAINTER CADC
1506 31ST AVE N
FORT DODGE, IA 50501-7274
Phone number: 515-576-7261
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