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1780143248
KANDIS DESPAIN
CEDAR RAPIDS, IA
NPI
1780143248
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 19021)
Enumeration Date
2019-03-14
Last Update Date
2019-04-30
Business Address
KANDIS DESPAIN
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404-2328
Phone number: 319-390-4611
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Mailing Address
KANDIS DESPAIN
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404-2328
Phone number:
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