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1215359054
CHUCK CORWIN
WATERLOO, IA
NPI
1215359054
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 95124)
Enumeration Date
2014-01-14
Last Update Date
2014-01-14
Business Address
CHUCK CORWIN
607 SYCAMORE STREET, SUITE 300
WATERLOO, IA 50703
Phone number: 319-232-5363
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Mailing Address
CHUCK CORWIN
607 SYCAMORE ST STE 300
WATERLOO, IA 50703-4799
Phone number: 319-232-5363
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