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1760905905
AMANDA TERRYCE GIDLEY
WATERLOO, IA
NPI
1760905905
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 086882)
Enumeration Date
2017-07-19
Last Update Date
2024-01-09
Business Address
Ms. AMANDA TERRYCE GIDLEY LISW
999 HOME PLZ STE 301
WATERLOO, IA 50701-4822
Phone number: 319-299-2864
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Mailing Address
Ms. AMANDA TERRYCE GIDLEY LISW
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-235-5390
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