LISA LORRAINE GAUL

OLYMPIA, WA
NPI1144854332
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60657437)
Enumeration Date2020-02-26
Last Update Date2020-02-26
Business Address
LISA LORRAINE GAUL SUDPT
1905 4TH AVE E STE B
OLYMPIA, WA 98506-4631
Phone number: 360-338-0600
Mailing Address
LISA LORRAINE GAUL SUDPT
1910 4TH AVE EST PO BOX 42
OLYMPIA, WA 98506
Phone number: 360-338-0600
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