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1033210307
SUSAN MARIE JAECQUES
IOWA CITY, IA
NPI
1033210307
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 00773)
Enumeration Date
2006-09-26
Last Update Date
2007-07-08
Business Address
-- SUSAN MARIE JAECQUES LISW
507 E COLLEGE ST
IOWA CITY, IA 52240-5115
Phone number: 319-338-7884
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Mailing Address
-- SUSAN MARIE JAECQUES LISW
507 E COLLEGE ST
IOWA CITY, IA 52240-5115
Phone number: 319-338-7884
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