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1366406894
KEITH SUTHERLAND
SIOUX CITY, IA
NPI
1366406894
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 05141)
Enumeration Date
2006-04-13
Last Update Date
2007-07-08
Business Address
-- KEITH SUTHERLAND
625 COURT ST
SIOUX CITY, IA 51101-1919
Phone number: 712-252-3871
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Mailing Address
-- KEITH SUTHERLAND
PO BOX 1917
SIOUX CITY, IA 51102-1917
Phone number: 712-252-3871
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