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1194173708
SHANNON M LEWIS
ANKENY, IA
NPI
1194173708
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 16075)
Enumeration Date
2016-05-25
Last Update Date
2016-05-25
Business Address
-- SHANNON M LEWIS CADC
501 SW ANKENY RD
ANKENY, IA 50023-9702
Phone number: 515-289-2272
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Mailing Address
-- SHANNON M LEWIS CADC
501 SW ANKENY RD
ANKENY, IA 50023-9702
Phone number: 515-289-2272
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