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1639648843
AMANDA RAE MASON
OTTUMWA, IA
NPI
1639648843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 18060)
Enumeration Date
2018-11-16
Last Update Date
2018-11-16
Business Address
AMANDA RAE MASON CADC
310 W. MAIN ST
OTTUMWA, IA 52501
Phone number: 641-683-6747
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Mailing Address
AMANDA RAE MASON CADC
P.O. BOX 658
OTTUMWA, IA 52501
Phone number: 641-683-6747
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