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1346544053
LANCE JEREMY STUMBO
PERRY, IA
NPI
1346544053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 000329)
Enumeration Date
2011-01-10
Last Update Date
2013-10-16
Business Address
-- LANCE JEREMY STUMBO LMFT
600 1ST AVE
PERRY, IA 50220-1803
Phone number: 515-232-2640
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Mailing Address
-- LANCE JEREMY STUMBO LMFT
3125 DOUGLAS AVE STE 100
DES MOINES, IA 50310-5310
Phone number: 515-232-2640
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