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1023559713
VICKIE VANFOSSEN
LONGVIEW, WA
NPI
1023559713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60713644)
Enumeration Date
2017-03-14
Last Update Date
2017-03-14
Business Address
-- VICKIE VANFOSSEN
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
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Mailing Address
-- VICKIE VANFOSSEN
921 14TH AVE
LONGVIEW, WA 98632-2316
Phone number: 360-423-0203
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