SUSAN GWENDOLYN VISCO

BREMERTON, WA
NPI1003382441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60010870)
Enumeration Date2018-10-23
Last Update Date2018-10-23
Business Address
SUSAN GWENDOLYN VISCO
3015 TRENTON AVE
BREMERTON, WA 98310-5347
Phone number: 253-858-4200
Mailing Address
SUSAN GWENDOLYN VISCO
3015 TRENTON AVE
BREMERTON, WA 98310-5347
Phone number:
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