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1124593017
ELISA MARIE MATTHEWS
TACOMA, WA
NPI
1124593017
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-10-08
Last Update Date
2018-10-08
Business Address
ELISA MARIE MATTHEWS BA
5315 S ORCHARD ST
TACOMA, WA 98467-3686
Phone number: 253-414-7461
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Mailing Address
ELISA MARIE MATTHEWS BA
5915 ORCHARD ST W
TACOMA, WA 98467-3824
Phone number: 253-414-7461
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