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1023652450
SHELBY FITZGERALD
VANCOUVER, WA
NPI
1023652450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60870375)
Enumeration Date
2019-10-29
Last Update Date
2019-10-29
Business Address
SHELBY FITZGERALD CDPt
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-514-2608
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Mailing Address
SHELBY FITZGERALD CDPt
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-514-2608
Copy
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