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1154947505
MADELINE RIVERA
AMES, IA
NPI
1154947505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA t20015)
Enumeration Date
2020-06-22
Last Update Date
2020-06-22
Business Address
MADELINE RIVERA
1619 S HIGH AVE
AMES, IA 50010-8055
Phone number: 515-232-3206
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Mailing Address
MADELINE RIVERA
1619 S HIGH AVE
AMES, IA 50010-8055
Phone number: 515-232-3206
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