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1942998000
DOMINIQUE WARD
SPENCER, IA
NPI
1942998000
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: IA 119922)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
DOMINIQUE WARD TLMHC
120 E 5TH ST
SPENCER, IA 51301-5011
Phone number: 712-262-2922
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Mailing Address
DOMINIQUE WARD TLMHC
714 2ND AVE S APT 3
ESTHERVILLE, IA 51334-2347
Phone number: 641-844-4703
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