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1447846167
ALYCIA JULIA WIRTZ
FORT DODGE, IA
NPI
1447846167
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 101549)
Enumeration Date
2020-12-16
Last Update Date
2020-12-16
Business Address
ALYCIA JULIA WIRTZ
720 KENYON RD
FORT DODGE, IA 50501-5759
Phone number: 800-482-8305
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Mailing Address
ALYCIA JULIA WIRTZ
720 KENYON RD
FORT DODGE, IA 50501-5759
Phone number: 800-482-8305
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