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1356049175
SHAWN NELSON
SIOUX CITY, IA
NPI
1356049175
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 20065)
Enumeration Date
2023-02-21
Last Update Date
2023-02-21
Business Address
SHAWN NELSON BA CADC
625 COURT ST
SIOUX CITY, IA 51101-1919
Phone number: 712-252-3871
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Mailing Address
SHAWN NELSON BA CADC
625 COURT ST
SIOUX CITY, IA 51101-1919
Phone number:
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