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1053746131
KATHY DASTRUP
LAKEWOOD, WA
NPI
1053746131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003652)
Enumeration Date
2013-09-09
Last Update Date
2014-02-17
Business Address
-- KATHY DASTRUP CDP
7511 CUSTER RD W
LAKEWOOD, WA 98499
Phone number: 253-507-8367
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Mailing Address
-- KATHY DASTRUP CDP
7511 CUSTER RD W
LAKEWOOD, WA 98499
Phone number: 253-507-8367
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