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1174001556
MARIBETH BOUSMAN
CLINTON, IA
NPI
1174001556
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 18021)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
MARIBETH BOUSMAN BA, CADC
2219 GARFIELD ST
CLINTON, IA 52732-2429
Phone number: 563-242-6805
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Mailing Address
MARIBETH BOUSMAN BA, CADC
2219 GARFIELD ST
CLINTON, IA 52732-2429
Phone number: 563-242-6805
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