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1477043099
BETHANY CANNY
OTTUMWA, IA
NPI
1477043099
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Former Name
BETHANY ROUSH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 18022)
Enumeration Date
2018-05-18
Last Update Date
2018-05-18
Business Address
BETHANY CANNY CADC
310 W. MAIN ST
OTTUMWA, IA 52501
Phone number: 641-683-6747
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Mailing Address
BETHANY CANNY CADC
PO BOX 658
OTTUMWA, IA 52501
Phone number: 641-683-6747
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