TERRIS C SALLIS

NEWTON, IA
NPI1609948538
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  05015)
Enumeration Date2006-11-15
Last Update Date2007-07-08
Business Address
-- TERRIS C SALLIS BA, CADC
306 N 3RD AVE E
NEWTON, IA 50208-3298
Phone number: 641-792-4012
Mailing Address
-- TERRIS C SALLIS BA, CADC
306 N 3RD AVE E
NEWTON, IA 50208-3298
Phone number: 641-792-4012
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