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1780645275
STACEY LOUISE NORTON-MODRELL
SIOUX CITY, IA
NPI
1780645275
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: IA 00598)
Enumeration Date
2006-04-01
Last Update Date
2007-07-08
Business Address
-- STACEY LOUISE NORTON-MODRELL LISW
2101 COURT ST
SIOUX CITY, IA 51104-3243
Phone number: 712-293-4700
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Mailing Address
-- STACEY LOUISE NORTON-MODRELL LISW
PO BOX 1197
SIOUX CITY, IA 51102-1197
Phone number: 712-293-4700
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