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1124846167
DIAMOND PEVERILL
COUNCIL BLUFFS, IA
NPI
1124846167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NE P-2022)
Enumeration Date
2024-09-30
Last Update Date
2024-09-30
Business Address
DIAMOND PEVERILL
1750 W BROADWAY
COUNCIL BLUFFS, IA 51501-3814
Phone number: 712-435-2709
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Mailing Address
DIAMOND PEVERILL
1750 W BROADWAY
COUNCIL BLUFFS, IA 51501-3814
Phone number: 712-435-2709
Copy
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