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1134779218
JESSICA REGI GROSS
SIOUX CITY, IA
NPI
1134779218
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-09-19
Last Update Date
2019-09-19
Business Address
JESSICA REGI GROSS CADC
1115 5TH ST
SIOUX CITY, IA 51101-1905
Phone number: 712-255-0890
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Mailing Address
JESSICA REGI GROSS CADC
1115 5TH ST
SIOUX CITY, IA 51101-1905
Phone number: 712-255-0890
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