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1639307077
MICHELLE MARGARET PETTENGILL
CENTERVILLE, IA
NPI
1639307077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 09066)
Enumeration Date
2009-06-24
Last Update Date
2009-06-24
Business Address
-- MICHELLE MARGARET PETTENGILL BA, CADC
221 E STATE ST
CENTERVILLE, IA 52544-1813
Phone number: 641-856-6471
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Mailing Address
-- MICHELLE MARGARET PETTENGILL BA, CADC
221 E STATE ST
CENTERVILLE, IA 52544-1813
Phone number: 641-856-6471
Copy
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