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1386375780
AUTUMN IRWIN
IOLA, KS
NPI
1386375780
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: KS 1707)
Enumeration Date
2022-06-17
Last Update Date
2022-06-27
Business Address
AUTUMN IRWIN LAC
2051 N STATE ST
IOLA, KS 66749-1677
Phone number: 620-481-1267
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Mailing Address
AUTUMN IRWIN LAC
1004 CHESTNUT ST
EMPORIA, KS 66801-2500
Phone number:
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