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1063873065
DANIELLE SHANDERA
EVERETT, WA
NPI
1063873065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP60298454)
Enumeration Date
2016-03-17
Last Update Date
2016-03-21
Business Address
DANIELLE SHANDERA
2732 GRAND AVE
EVERETT, WA 98201-3416
Phone number: 425-259-5842
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Mailing Address
DANIELLE SHANDERA
PO BOX 12598
EVERETT, WA 98206-2598
Phone number:
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