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1114119948
ELLA G MCHENRY
FEDERAL WAY, WA
NPI
1114119948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00002201)
Enumeration Date
2007-08-15
Last Update Date
2007-08-15
Business Address
-- ELLA G MCHENRY CDP
33301 1ST WAY S STE C-115
FEDERAL WAY, WA 98003-6252
Phone number: 253-661-6634
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Mailing Address
-- ELLA G MCHENRY CDP
2704 I ST NE
AUBURN, WA 98002-2411
Phone number: 253-661-6634
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