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1023526555
ANGELA DENISE WISNIEWSKI
EVERETT, WA
NPI
1023526555
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60451987)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
ANGELA DENISE WISNIEWSKI CO60451987
2732 GRAND AVE
EVERETT, WA 98201-3416
Phone number: 425-259-5842
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Mailing Address
ANGELA DENISE WISNIEWSKI CO60451987
3019 COLBY AVE
EVERETT, WA 98201-4022
Phone number: 425-259-5842
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