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1003443482
LAURA LYNN TENNEY
VANCOUVER, WA
NPI
1003443482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61489652)
Enumeration Date
2020-03-25
Last Update Date
2023-11-20
Business Address
LAURA LYNN TENNEY SUDPT
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
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Mailing Address
LAURA LYNN TENNEY SUDPT
13852 NW 10TH CT APT B
VANCOUVER, WA 98685-1905
Phone number: 360-901-9827
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