LISSAN HUGO-MAIN

MASON CITY, IA
NPI1902300890
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-03-23
Last Update Date2018-03-23
Business Address
LISSAN HUGO-MAIN B.A.
320 N EISENHOWER AVE
MASON CITY, IA 50401-1521
Phone number: 641-424-2391
Mailing Address
LISSAN HUGO-MAIN B.A.
PO BOX 1338
MASON CITY, IA 50402-1338
Phone number: 641-243-7244
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