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1114335155
TAMMY AVERY
DES MOINES, IA
NPI
1114335155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2014-07-22
Last Update Date
2014-07-22
Business Address
-- TAMMY AVERY BA
1409 CLARK ST
DES MOINES, IA 50314
Phone number: 515-643-6500
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Mailing Address
-- TAMMY AVERY BA
3523 50TH ST
DES MOINES, IA 50310-2649
Phone number: 515-770-7232
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