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1962916262
TERRY DALE PAULEY
DES MOINES, IA
NPI
1962916262
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA 08050)
Enumeration Date
2017-11-22
Last Update Date
2017-11-22
Business Address
TERRY DALE PAULEY CADC
3451 EASTON BLVD
DES MOINES, IA 50317-3214
Phone number: 515-262-0349
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Mailing Address
TERRY DALE PAULEY CADC
3451 EASTON BLVD
DES MOINES, IA 50317-3214
Phone number: 515-262-0349
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