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1235637869
MICA RAE FRANDSEN
DAVENPORT, IA
NPI
1235637869
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-29
Last Update Date
2018-01-29
Business Address
Mrs. MICA RAE FRANDSEN
1523 S FAIRMOUNT ST
DAVENPORT, IA 52802-3644
Phone number: 563-322-2667
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Mailing Address
Mrs. MICA RAE FRANDSEN
1523 S FAIRMOUNT ST
DAVENPORT, IA 52802-3644
Phone number:
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