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1033687355
LISA ELAINE GRILLO
SEATTLE, WA
NPI
1033687355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00000455)
Enumeration Date
2018-11-05
Last Update Date
2022-01-31
Business Address
LISA ELAINE GRILLO SUDP
2120 S PLUM ST STE A
SEATTLE, WA 98144-4539
Phone number: 206-441-3043
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Mailing Address
LISA ELAINE GRILLO SUDP
2120 S PLUM ST STE A
SEATTLE, WA 98144-4539
Phone number: 206-441-3043
Copy
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