SHANNON MARIA BAULNE

COLVILLE, WA
NPI1104261098
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60213855)
Enumeration Date2013-05-06
Last Update Date2013-05-06
Business Address
-- SHANNON MARIA BAULNE
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
Mailing Address
-- SHANNON MARIA BAULNE
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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