SAMUEL LASSISE

MASON CITY, IA
NPI1780190249
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  t17112)
Enumeration Date2017-12-20
Last Update Date2017-12-20
Business Address
SAMUEL LASSISE
50 N EISENHOWER AVE
MASON CITY, IA 50401-7340
Phone number: 641-423-5479
Mailing Address
SAMUEL LASSISE
420 KELLOGG AVE
AMES, IA 50010-6226
Phone number: 515-233-3141
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