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1013014703
CHRISTINE MARIE VINCENT
IOWA CITY, IA
NPI
1013014703
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 03057)
Enumeration Date
2006-09-17
Last Update Date
2019-09-10
Business Address
CHRISTINE MARIE VINCENT LISW
757 W BENTON ST
IOWA CITY, IA 52246-5953
Phone number: 319-339-4757
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Mailing Address
CHRISTINE MARIE VINCENT LISW
369 E COLLEGE ST
IOWA CITY, IA 52240-1690
Phone number: 319-339-4757
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