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Individual

SARAH SUE JEPPERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
TCADC

Contact information

Practice address
703 N MAIN ST STE 1, CHARLES CITY, IA 50616-2126
(641) 228-1477
(641) 228-1468
Mailing address
90 MAPLE ST, NASHUA, IA 50658-9260
(641) 229-0732

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T22174
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
T22174
IA
Enumeration date
10/24/2022
Last updated
10/24/2022
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