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1740602770
MARY BOOTS
CEDAR RAPIDS, IA
NPI
1740602770
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 11063)
Enumeration Date
2014-01-10
Last Update Date
2014-01-10
Business Address
-- MARY BOOTS IADC
4403 1ST AVE SE STE 307
CEDAR RAPIDS, IA 52402-3221
Phone number: 319-294-1599
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Mailing Address
-- MARY BOOTS IADC
4403 1ST AVE SE STE 307
CEDAR RAPIDS, IA 52402-3221
Phone number: 319-294-1599
Copy
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