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1093553471
DEYLENE GONZALES
YAKIMA, WA
NPI
1093553471
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 61546390)
Enumeration Date
2024-07-18
Last Update Date
2024-07-18
Business Address
DEYLENE GONZALES SUDPT
PO BOX 376
YAKIMA, WA 98907-0376
Phone number: 509-469-9366
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Mailing Address
DEYLENE GONZALES SUDPT
PO BOX 376
YAKIMA, WA 98907-0376
Phone number: 509-469-9366
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