KELLY WENTZ

SIOUX CITY, IA
NPI1922833508
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA  24065)
Enumeration Date2024-09-04
Last Update Date2024-09-04
Business Address
KELLY WENTZ cadc
505 5TH ST STE 100
SIOUX CITY, IA 51101-1510
Phone number: 712-253-7100
Mailing Address
KELLY WENTZ cadc
505 5TH ST STE 100
SIOUX CITY, IA 51101-1510
Phone number: 712-253-7100
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