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1114521192
REGAN RAE KAMMA BOLING
LYNNWOOD, WA
NPI
1114521192
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Former Name
REGAN RAE KAMMA FERRELL
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
104100000X Social Worker
(Licence: WA SC61108110)
Enumeration Date
2020-11-30
Last Update Date
2020-11-30
Business Address
Mrs. REGAN RAE KAMMA BOLING LSWAIC, LSW
16521 13TH AVE W STE 112
LYNNWOOD, WA 98037-8513
Phone number: 260-450-2143
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Mailing Address
Mrs. REGAN RAE KAMMA BOLING LSWAIC, LSW
11030 NE 58TH WAY
KIRKLAND, WA 98033-7506
Phone number: 260-450-2143
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