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1477915700
SHIRLEY HENDERSON
SIOUX CITY, IA
NPI
1477915700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 10157)
Enumeration Date
2016-03-25
Last Update Date
2016-03-25
Business Address
-- SHIRLEY HENDERSON CADC
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone number: 712-234-2337
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Mailing Address
-- SHIRLEY HENDERSON CADC
800 5TH ST
SIOUX CITY, IA 51101-1317
Phone number: 712-234-2337
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