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1851906184
JACQUELINE DETRICK
SHELDON, IA
NPI
1851906184
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2020-09-14
Last Update Date
2020-09-14
Business Address
JACQUELINE DETRICK
118 N 2ND AVE
SHELDON, IA 51201-1039
Phone number: 712-262-2922
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Mailing Address
JACQUELINE DETRICK
4822 TAFT AVE
SUTHERLAND, IA 51058-7572
Phone number: 712-441-2305
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