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1083244644
AUDREY JANE BENGTSON
OLYMPIA, WA
NPI
1083244644
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61019437)
Enumeration Date
2020-01-23
Last Update Date
2020-01-23
Business Address
AUDREY JANE BENGTSON
3773 MARTIN WAY E STE 107
OLYMPIA, WA 98506-4400
Phone number: 360-688-7312
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Mailing Address
AUDREY JANE BENGTSON
817 TIPSOO LOOP S
RAINIER, WA 98576-9745
Phone number: 360-359-2082
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