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1194275750
KAREN RUSSELL
SPENCER, IA
NPI
1194275750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2016-10-07
Last Update Date
2016-10-07
Business Address
-- KAREN RUSSELL CADC
1900 GRAND AVE N STE A
SPENCER, IA 51301-2022
Phone number: 712-262-2952
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Mailing Address
-- KAREN RUSSELL CADC
1900 GRAND AVE N STE A
SPENCER, IA 51301-2200
Phone number: 712-262-2952
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