JACQUELINE DETRICK

SHELDON, IA
NPI1851906184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-09-14
Last Update Date2020-09-14
Business Address
JACQUELINE DETRICK
118 N 2ND AVE
SHELDON, IA 51201-1039
Phone number: 712-262-2922
Mailing Address
JACQUELINE DETRICK
4822 TAFT AVE
SUTHERLAND, IA 51058-7572
Phone number: 712-441-2305
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