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1215018593
STACIE LARAE WEIRES
WEST DES MOINES, IA
NPI
1215018593
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 05746)
Enumeration Date
2006-10-17
Last Update Date
2013-03-15
Business Address
-- STACIE LARAE WEIRES
950 OFFICE PARK RD
WEST DES MOINES, IA 50265-2549
Phone number: 515-279-2834
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Mailing Address
-- STACIE LARAE WEIRES
1708 2ND AVE SW
ALTOONA, IA 50009-5810
Phone number: 515-238-1947
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