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1114300191
LAURIE BRIESE
TUMWATER, WA
NPI
1114300191
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60319237)
Enumeration Date
2015-07-08
Last Update Date
2015-07-08
Business Address
-- LAURIE BRIESE
409 CUSTER WAY SE SUITE D
TUMWATER, WA 98501-3350
Phone number: 360-570-8258
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Mailing Address
-- LAURIE BRIESE
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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