AVIS WALCOTT

TACOMA, WA
NPI1164853420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00002358)
Enumeration Date2013-12-11
Last Update Date2013-12-11
Business Address
-- AVIS WALCOTT
1516 S 11TH ST
TACOMA, WA 98405-3332
Phone number: 253-396-1634
Mailing Address
-- AVIS WALCOTT
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number:
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