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1750753539
TYLER LENNON
FORT DODGE, IA
NPI
1750753539
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 15084)
Enumeration Date
2015-10-20
Last Update Date
2015-10-20
Business Address
Mr. TYLER LENNON CADC, B.S.
726 S 17TH ST
FORT DODGE, IA 50501-5344
Phone number: 515-576-7261
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Mailing Address
Mr. TYLER LENNON CADC, B.S.
1630 11TH ST
MANSON, IA 50563-5026
Phone number: 515-571-8522
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