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1164870267
KELLY KNITTLE
OLYMPIA, WA
NPI
1164870267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA Cp60523464)
Enumeration Date
2016-05-31
Last Update Date
2016-05-31
Business Address
-- KELLY KNITTLE
4820 SHE-NAH-NUM DR. SE
OLYMPIA, WA 98520
Phone number: 360-413-2727
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Mailing Address
-- KELLY KNITTLE
4820 SHE NAH NUM DR SE
OLYMPIA, WA 98513-9105
Phone number: 360-413-2727
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