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1154809085
ELIZABETH LAVERNE BOELTER
YAKIMA, WA
NPI
1154809085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00000384)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
ELIZABETH LAVERNE BOELTER
2280 STATE ROUTE 821
YAKIMA, WA 98901-8302
Phone number: 509-457-0990
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Mailing Address
ELIZABETH LAVERNE BOELTER
2280 STATE ROUTE 821
YAKIMA, WA 98901-8302
Phone number: 509-457-0990
Copy
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