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1831637511
BRIAN M MOORHEAD
ATLANTIC, IA
NPI
1831637511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: IA 14103)
Enumeration Date
2017-02-02
Last Update Date
2017-02-02
Business Address
BRIAN M MOORHEAD CADC
1500 E 10TH ST
ATLANTIC, IA 50022-1935
Phone number: 712-243-5091
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Mailing Address
BRIAN M MOORHEAD CADC
1500 E 10TH ST
ATLANTIC, IA 50022-1935
Phone number: 712-243-5091
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