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1174021299
CONNIE HARVEY
FORT DODGE, IA
NPI
1174021299
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 18001)
Enumeration Date
2018-01-23
Last Update Date
2018-01-23
Business Address
CONNIE HARVEY CADC
726 S 17TH ST
FORT DODGE, IA 50501-5344
Phone number: 515-576-7261
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Mailing Address
CONNIE HARVEY CADC
726 S 17TH ST
FORT DODGE, IA 50501-5344
Phone number: 515-576-7261
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