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1124232731
PHYLLIS DAVIS
BURIEN, WA
NPI
1124232731
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003526)
Enumeration Date
2007-05-10
Last Update Date
2007-07-08
Business Address
-- PHYLLIS DAVIS CDP
236 S 152ND ST APT 305
BURIEN, WA 98148-1040
Phone number: 253-839-6261
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Mailing Address
-- PHYLLIS DAVIS CDP
236 S 152ND ST APT 305
BURIEN, WA 98148-1040
Phone number: 253-839-6261
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