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1215584289
STEPHANIE CRANDALL
JOHNSTON, IA
NPI
1215584289
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Former Name
STEPHANIE PETCHULAT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 096779)
Enumeration Date
2019-08-23
Last Update Date
2019-08-23
Business Address
STEPHANIE CRANDALL LMSW
9550 WHITE OAK LN STE 200
JOHNSTON, IA 50131-2267
Phone number: 515-259-8110
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Mailing Address
STEPHANIE CRANDALL LMSW
9550 WHITE OAK LN STE 200
JOHNSTON, IA 50131-2267
Phone number: 515-259-8110
Copy
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