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1104471267
CHARLENE HAYNES
EVERETT, WA
NPI
1104471267
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60953188)
Enumeration Date
2019-08-06
Last Update Date
2019-08-06
Business Address
CHARLENE HAYNES CDPT
11627 AIRPORT RD
EVERETT, WA 98204-8736
Phone number: 425-493-5310
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Mailing Address
CHARLENE HAYNES CDPT
PO BOX 12598
EVERETT, WA 98206-2598
Phone number: 425-493-5310
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