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1750652657
AMY ELIZABETH NOTHDURFT STAPLES
CLIVE, IA
NPI
1750652657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 11142)
Enumeration Date
2012-01-24
Last Update Date
2012-01-25
Business Address
-- AMY ELIZABETH NOTHDURFT STAPLES BS, IADC
8527 UNIVERSITY BLVD STE 9
CLIVE, IA 50325-1069
Phone number: 515-402-5422
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Mailing Address
-- AMY ELIZABETH NOTHDURFT STAPLES BS, IADC
8527 UNIVERSITY BLVD STE 9
CLIVE, IA 50325-1069
Phone number: 515-321-6918
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