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1962968263
MICHELLE STOCKWELL
OTTUMWA, IA
NPI
1962968263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: IA t19000)
Enumeration Date
2019-02-12
Last Update Date
2019-02-12
Business Address
MICHELLE STOCKWELL TCADC
1527 ALBIA RD
OTTUMWA, IA 52501-3907
Phone number: 641-682-8772
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Mailing Address
MICHELLE STOCKWELL TCADC
1527 ALBIA RD
OTTUMWA, IA 52501-3907
Phone number: 641-682-8772
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