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Individual

MICHELLE WEEKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
1527 ALBIA RD, OTTUMWA, IA 52501-3907
(641) 682-8772
(641) 682-1924
Mailing address
1527 ALBIA RD, OTTUMWA, IA 52501-3907
(641) 682-8772
(641) 682-1924

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16095
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1659353670
IA
Enumeration date
11/21/2018
Last updated
11/21/2018
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