TYLER LENNON

FORT DODGE, IA
NPI1750753539
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  15084)
Enumeration Date2015-10-20
Last Update Date2015-10-20
Business Address
Mr. TYLER LENNON CADC, B.S.
726 S 17TH ST
FORT DODGE, IA 50501-5344
Phone number: 515-576-7261
Mailing Address
Mr. TYLER LENNON CADC, B.S.
1630 11TH ST
MANSON, IA 50563-5026
Phone number: 515-571-8522
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