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1649545880
MARY DAWN BERRY
SIOUX CITY, IA
NPI
1649545880
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 704927)
Enumeration Date
2012-03-21
Last Update Date
2012-03-21
Business Address
Ms. MARY DAWN BERRY ICADAC
1221 PIERCE ST
SIOUX CITY, IA 51105-1418
Phone number: 712-255-0232
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Mailing Address
Ms. MARY DAWN BERRY ICADAC
3700 28TH ST SPC 401
SIOUX CITY, IA 51105-2300
Phone number: 712-204-0014
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