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1699328773
STACY KRUG
MARION, IA
NPI
1699328773
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 19040)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
STACY KRUG CDAC
151 MARION BLVD
MARION, IA 52302-3135
Phone number: 319-363-2878
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Mailing Address
STACY KRUG CDAC
1190 MAPLECREST DR
MARION, IA 52302-2141
Phone number: 319-651-8118
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