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1003507575
KAITLYN SUE MAYNE
VANCOUVER, WA
NPI
1003507575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2023-05-16
Last Update Date
2023-05-16
Business Address
KAITLYN SUE MAYNE
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
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Mailing Address
KAITLYN SUE MAYNE
3200 NE 109TH AVE
VANCOUVER, WA 98682-7749
Phone number: 360-695-1014
Copy
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