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1124594502
KIMBERLY MANTIA
GIG HARBOR, WA
NPI
1124594502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60821274)
Enumeration Date
2018-10-23
Last Update Date
2018-10-23
Business Address
KIMBERLY MANTIA CP60821274
9601 BUJACICH RD NW
GIG HARBOR, WA 98332-8300
Phone number: 360-440-2949
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Mailing Address
KIMBERLY MANTIA CP60821274
1061 EAGLE CREST PL
PORT ORCHARD, WA 98366-3632
Phone number: 360-440-2949
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