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1528182896
THE WILLOW GROUP, P.C.
COUNCIL BLUFFS, IA
NPI
1528182896
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Entity Type
Organization
Authorized Contact
GARY Y LARSEN
Director
712-323-1728
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 116)
Enumeration Date
2007-03-19
Last Update Date
2020-08-22
Business Address
THE WILLOW GROUP, P.C.
601 WILLOW AVE
COUNCIL BLUFFS, IA 51501-4242
Phone number: 712-323-1728
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Mailing Address
THE WILLOW GROUP, P.C.
601 WILLOW AVE
COUNCIL BLUFFS, IA 51501-4242
Phone number: 712-323-1728
Copy
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