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1700139920
LESLIE RENAE OLSON
AMES, IA
NPI
1700139920
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 12021)
Enumeration Date
2012-10-25
Last Update Date
2012-10-25
Business Address
LESLIE RENAE OLSON B.A, CADC
804 KELLOGG AVE
AMES, IA 50010-6234
Phone number: 515-233-4930
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Mailing Address
LESLIE RENAE OLSON B.A, CADC
804 KELLOGG AVE
AMES, IA 50010-6234
Phone number: 515-233-4930
Copy
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