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1114647666
LACIE TEAL
WAPELLO, IA
NPI
1114647666
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2022-09-02
Last Update Date
2022-09-02
Business Address
LACIE TEAL
304 HIGHWAY 61 N
WAPELLO, IA 52653-1243
Phone number: 319-523-8436
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Mailing Address
LACIE TEAL
304 HIGHWAY 61 N
WAPELLO, IA 52653-1243
Phone number: 319-523-8436
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