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1215307483
KELLY MARSENGILL
CEDAR RAPIDS, IA
NPI
1215307483
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 00026)
Enumeration Date
2015-10-01
Last Update Date
2015-10-01
Business Address
-- KELLY MARSENGILL
4403 1ST AVE SE STE 104
CEDAR RAPIDS, IA 52402-3221
Phone number: 319-202-1509
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Mailing Address
-- KELLY MARSENGILL
4403 1ST AVE SE STE 104
CEDAR RAPIDS, IA 52402-3221
Phone number: 319-202-1509
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