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1104171677
SUSAN E HATHER
LONGVIEW, WA
NPI
1104171677
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60237147)
Enumeration Date
2012-07-19
Last Update Date
2012-07-19
Business Address
-- SUSAN E HATHER CDPT
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-575-8275
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Mailing Address
-- SUSAN E HATHER CDPT
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-575-8275
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