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1164562104
MICHELLE LAWRENCE
TACOMA, WA
NPI
1164562104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- MICHELLE LAWRENCE
MADIGAN ARMY MEDICAL CENTER BUILDING 2006
TACOMA, WA 98433
Phone number: 253-967-1447
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Mailing Address
-- MICHELLE LAWRENCE
8332 49TH LOOP SE
OLYMPIA, WA 98513-4716
Phone number: 360-456-3070
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