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1295351179
GREG FUQUA
ANKENY, IA
NPI
1295351179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: IA 99672)
Enumeration Date
2020-06-17
Last Update Date
2023-09-26
Business Address
GREG FUQUA LMHC
1105 N ANKENY BLVD STE 100
ANKENY, IA 50023-4003
Phone number: 515-255-8399
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Mailing Address
GREG FUQUA LMHC
600 42ND ST
DES MOINES, IA 50312-2701
Phone number: 515-255-8399
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