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1801205927
DANIEL TIPTON
COUNCIL BLUFFS, IA
NPI
1801205927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 073697)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
-- DANIEL TIPTON
300 W BROADWAY STE 107
COUNCIL BLUFFS, IA 51503-4489
Phone number: 712-328-3700
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Mailing Address
-- DANIEL TIPTON
2125 S 35TH AVE
OMAHA, NE 68105-3131
Phone number: 402-594-3664
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