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1790293181
AMY RUTH ALLISON
DAVENPORT, IA
NPI
1790293181
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-01-19
Last Update Date
2018-01-19
Business Address
AMY RUTH ALLISON
1523 S. FAIRMOUNT ST.
DAVENPORT, IA 52802
Phone number: 563-322-2667
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Mailing Address
AMY RUTH ALLISON
1523 S FAIRMOUNT ST
DAVENPORT, IA 52802-3644
Phone number: 563-322-2667
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