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1043750284
KARISSA LOUISE MANO
SHORELINE, WA
NPI
1043750284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60731691)
Enumeration Date
2017-03-07
Last Update Date
2017-03-07
Business Address
Miss KARISSA LOUISE MANO
14829 MERIDIAN AVE N
SHORELINE, WA 98133-6725
Phone number: 714-262-5145
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Mailing Address
Miss KARISSA LOUISE MANO
14829 MERIDIAN AVE N
SHORELINE, WA 98133-6725
Phone number: 714-262-5145
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