CANDICE STARK VALLEJO

COUNCIL BLUFFS, IA
NPI1891030649
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: IA  00442)
Enumeration Date2012-12-05
Last Update Date2012-12-05
Business Address
-- CANDICE STARK VALLEJO LISW
300 W BROADWAY STE 29
COUNCIL BLUFFS, IA 51503-9030
Phone number: 712-323-1660
Mailing Address
-- CANDICE STARK VALLEJO LISW
300 W BROADWAY STE 29
COUNCIL BLUFFS, IA 51503-9030
Phone number: 712-323-1660
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