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1396272209
TIFFANIE M WEST-BENNETT
KEOKUK, IA
NPI
1396272209
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 16133)
Enumeration Date
2017-05-23
Last Update Date
2022-07-21
Business Address
TIFFANIE M WEST-BENNETT CADC
928 MAIN ST
KEOKUK, IA 52632-4655
Phone number: 319-524-4397
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Mailing Address
TIFFANIE M WEST-BENNETT CADC
928 MAIN ST
KEOKUK, IA 52632-4655
Phone number: 319-524-4397
Copy
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