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1134900079
JEFF L MICKEY
WATERLOO, IA
NPI
1134900079
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: IA 120243)
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
JEFF L MICKEY T-LMFT
212 W DALE ST
WATERLOO, IA 50703-1954
Phone number: 319-235-3550
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Mailing Address
JEFF L MICKEY T-LMFT
3616 PANTHER LN
CEDAR FALLS, IA 50613-4919
Phone number:
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