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Individual

AMANDA RAE MASON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CADC

Contact information

Practice address
310 W. MAIN ST, OTTUMWA, IA 52501
(641) 683-6747
(641) 683-6317
Mailing address
P.O. BOX 658, OTTUMWA, IA 52501
(641) 683-6747
(641) 683-6317

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
18060
IA

Other

Enumeration date
11/16/2018
Last updated
11/16/2018
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