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1669978045
HEIDI JEAN HANSEN
MASON CITY, IA
NPI
1669978045
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA t18015)
Enumeration Date
2018-04-03
Last Update Date
2018-04-03
Business Address
HEIDI JEAN HANSEN tCADC
320 N EISENHOWER AVE
MASON CITY, IA 50401-1521
Phone number: 641-424-2391
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Mailing Address
HEIDI JEAN HANSEN tCADC
35300 210TH AVE
FOREST CITY, IA 50436-7667
Phone number: 641-590-3555
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