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1245780188
BLAIR J BIRKETT
WATERLOO, IA
NPI
1245780188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IA 084364)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
BLAIR J BIRKETT TMLHC
3251 W 9TH ST
WATERLOO, IA 50702-5310
Phone number: 319-234-2893
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Mailing Address
BLAIR J BIRKETT TMLHC
3251 W 9TH ST
WATERLOO, IA 50702-5310
Phone number: 319-234-2893
Copy
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