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1023505864
TIFANIE LEE GITCHELL
TUMWATER, WA
NPI
1023505864
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
TIFANIE LEE GITCHELL CDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6873
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Mailing Address
TIFANIE LEE GITCHELL CDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number:
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