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1124621313
DESTANIE TANAY GARRETT
PORT ORCHARD, WA
NPI
1124621313
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA co61104404)
Enumeration Date
2020-11-19
Last Update Date
2020-11-19
Business Address
DESTANIE TANAY GARRETT
661 TAYLOR ST
PORT ORCHARD, WA 98366-4300
Phone number: 360-337-4625
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Mailing Address
DESTANIE TANAY GARRETT
614 DIVISION ST
PORT ORCHARD, WA 98366-4614
Phone number: 360-337-4625
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