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1114360989
STEPHANIE DUNNIGAN
LONGVIEW, WA
NPI
1114360989
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60289690)
Enumeration Date
2013-04-11
Last Update Date
2013-04-11
Business Address
-- STEPHANIE DUNNIGAN CDPT
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-575-8275
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Mailing Address
-- STEPHANIE DUNNIGAN CDPT
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-575-8275
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