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1821159294
KELLY J WEYANT
INDEPENDENCE, IA
NPI
1821159294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 1260)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- KELLY J WEYANT CADC
309 1ST ST E
INDEPENDENCE, IA 50644-2854
Phone number: 319-334-3547
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Mailing Address
-- KELLY J WEYANT CADC
318 RIDGEVIEW DR
INDEPENDENCE, IA 50644-3145
Phone number: 319-334-3371
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