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1104486331
ANABEL FORTSON
TUKWILA, WA
NPI
1104486331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA C061110668)
Enumeration Date
2019-06-19
Last Update Date
2024-04-07
Business Address
ANABEL FORTSON SUDPT
15455 65TH AVE S
TUKWILA, WA 98188-2534
Phone number: 206-721-5170
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Mailing Address
ANABEL FORTSON SUDPT
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-353-9494
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