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1073113932
CHARLENE NICOLE ENNIS
TUMWATER, WA
NPI
1073113932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-10-29
Last Update Date
2020-10-29
Business Address
CHARLENE NICOLE ENNIS
3285 FERGUSON ST. SW
TUMWATER, WA 98512
Phone number: 360-252-2989
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Mailing Address
CHARLENE NICOLE ENNIS
3285 FERGUSON ST. SW
TUNWATER, WA 98512
Phone number: 360-252-2989
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