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1629624663
TERESA LARSON-WHITE
DES MOINES, IA
NPI
1629624663
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 19043)
Enumeration Date
2019-08-15
Last Update Date
2019-08-15
Business Address
TERESA LARSON-WHITE LBSW, CADC
1111 UNIVERSITY AVE
DES MOINES, IA 50314-2329
Phone number: 515-667-7995
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Mailing Address
TERESA LARSON-WHITE LBSW, CADC
PO BOX 115
BADGER, IA 50516-0115
Phone number:
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