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1114516572
CIARRA DAWN DAVIS
VANCOUVER, WA
NPI
1114516572
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61126126)
Enumeration Date
2021-01-11
Last Update Date
2021-01-11
Business Address
CIARRA DAWN DAVIS SUDP-T
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
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Mailing Address
CIARRA DAWN DAVIS SUDP-T
301 T ST SW APT F8
TUMWATER, WA 98501-4566
Phone number:
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