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1396164315
BRANDY JO DACKEN
DES MOINES, IA
NPI
1396164315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 12117)
Enumeration Date
2014-04-08
Last Update Date
2014-04-08
Business Address
-- BRANDY JO DACKEN CADC
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6500
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Mailing Address
-- BRANDY JO DACKEN CADC
1409 CLARK ST
DES MOINES, IA 50314-1964
Phone number: 515-643-6500
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