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1609966811
MARK COWAN
DES MOINES, IA
NPI
1609966811
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 00840)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- MARK COWAN LISW
925 PORTER AVE
DES MOINES, IA 50315-7235
Phone number: 515-287-9640
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Mailing Address
-- MARK COWAN LISW
925 PORTER AVE
DES MOINES, IA 50315-7235
Phone number: 515-287-9640
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