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1598346470
JESSICA CLARK
DES MOINES, IA
NPI
1598346470
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 21040)
Enumeration Date
2021-04-21
Last Update Date
2021-04-21
Business Address
JESSICA CLARK CADC
1223 CENTER ST STE 22
DES MOINES, IA 50309-1016
Phone number: 515-218-6125
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Mailing Address
JESSICA CLARK CADC
6033 PINE RIDGE ST
JOHNSTON, IA 50131-1063
Phone number: 515-975-7572
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