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1922734532
LISA MARIE TATUM
DES MOINES, IA
NPI
1922734532
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 115298)
Enumeration Date
2022-07-26
Last Update Date
2022-07-26
Business Address
LISA MARIE TATUM
612 LOCUST ST
DES MOINES, IA 50309-3718
Phone number: 515-883-2379
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Mailing Address
LISA MARIE TATUM
420 KELLOGG AVE
AMES, IA 50010-6226
Phone number: 515-233-3141
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