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1558728345
HALEIGH E BOUSLOG
CLIVE, IA
NPI
1558728345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 085210)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2016-01-25
Last Update Date
2021-10-12
Business Address
HALEIGH E BOUSLOG
12345 UNIVERSITY AVE STE 310
CLIVE, IA 50325-8285
Phone number: 515-329-0213
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Mailing Address
HALEIGH E BOUSLOG
12345 UNIVERSITY AVE STE 310
CLIVE, IA 50325-8285
Phone number:
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