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1013416247
ALICIA DEANE MELDREM
FORT DODGE, IA
NPI
1013416247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 18006)
Enumeration Date
2018-02-02
Last Update Date
2018-02-02
Business Address
ALICIA DEANE MELDREM CADC
1506 31ST AVE N
FORT DODGE, IA 50501-7274
Phone number: 515-576-7261
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Mailing Address
ALICIA DEANE MELDREM CADC
1506 31ST AVE N
FORT DODGE, IA 50501-7274
Phone number: 515-576-7261
Copy
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