Individual
SHELBYJO MARIE TWEEDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2727 S 19TH ST, CLINTON, IA 52732-7010
(563) 242-2042
Mailing address
2727 S 19TH ST, CLINTON, IA 52732-7010
(563) 242-2042
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
10/08/2021
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