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1447520705
ANDREW FROHARDT
COUNCIL BLUFFS, IA
NPI
1447520705
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 11144)
Enumeration Date
2012-01-04
Last Update Date
2012-01-04
Business Address
ANDREW FROHARDT
515 E BROADWAY
COUNCIL BLUFFS, IA 51503-4419
Phone number: 712-322-1407
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Mailing Address
ANDREW FROHARDT
1004 SPRUCE ST
COUNCIL BLUFFS, IA 51501-5832
Phone number:
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