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1083380109
MARY SQUIRES
BURIEN, WA
NPI
1083380109
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2021-08-18
Last Update Date
2021-08-18
Business Address
MARY SQUIRES
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-248-8226
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Mailing Address
MARY SQUIRES
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6922
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