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1134657919
PETER WILLIAM SMILLIE
WAPELLO, IA
NPI
1134657919
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 16088)
Enumeration Date
2017-05-24
Last Update Date
2022-07-21
Business Address
MR. PETER WILLIAM SMILLIE CADC
304 HIGHWAY 61 N
WAPELLO, IA 52653-1243
Phone number: 319-523-8436
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Mailing Address
MR. PETER WILLIAM SMILLIE CADC
304 HIGHWAY 61 N
WAPELLO, IA 52653-1243
Phone number: 319-523-8436
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