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1114395068
JORDAN BETH HOLTHAUS
DES MOINES, IA
NPI
1114395068
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-09-09
Last Update Date
2015-09-09
Business Address
-- JORDAN BETH HOLTHAUS
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6584
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Mailing Address
-- JORDAN BETH HOLTHAUS
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6584
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