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Individual

MRS. GENEVIEVE A BALAJADIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, T-CADC

Contact information

Practice address
799 MAIN ST STE 110, DUBUQUE, IA 52001-6825
(563) 582-3784
(563) 582-4006
Mailing address
799 MAIN ST STE 110, DUBUQUE, IA 52001-6825
(563) 582-3784
(563) 582-4006

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T18043
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2580
IA
Enumeration date
02/19/2019
Last updated
02/19/2019
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