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1992197347
KENNETH WINTER
CEDAR RAPIDS, IA
NPI
1992197347
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2015-02-23
Last Update Date
2015-02-23
Business Address
-- KENNETH WINTER
4403 1ST AVE SE SUITE 307
CEDAR RAPIDS, IA 52402-3200
Phone number: 319-294-1599
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Mailing Address
-- KENNETH WINTER
4403 1ST AVE SE SUITE 307
CEDAR RAPIDS, IA 52402-3200
Phone number: 319-294-1599
Copy
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