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1336131564
REVA DAWN EVANS
COUNCIL BLUFFS, IA
NPI
1336131564
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 01012)
Enumeration Date
2005-08-15
Last Update Date
2007-07-08
Business Address
Ms. REVA DAWN EVANS CADC
515 E BROADWAY
COUNCIL BLUFFS, IA 51503-4419
Phone number: 712-322-1407
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Mailing Address
Ms. REVA DAWN EVANS CADC
911 AVENUE I
COUNCIL BLUFFS, IA 51503-1851
Phone number: 712-323-4565
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