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1710359153
BREANNA HENDRICKS
DES MOINES, IA
NPI
1710359153
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 080127)
Enumeration Date
2015-10-26
Last Update Date
2015-10-26
Business Address
-- BREANNA HENDRICKS
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number: 515-244-2267
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Mailing Address
-- BREANNA HENDRICKS
808 5TH AVE
DES MOINES, IA 50309-1307
Phone number:
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