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1174057475
DOROTHY JEAN WORMELL
SPOKANE, WA
NPI
1174057475
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60491884)
Enumeration Date
2017-04-13
Last Update Date
2017-04-13
Business Address
-- DOROTHY JEAN WORMELL CDPT
518 S BROWNE ST
SPOKANE, WA 99204-2315
Phone number: 509-456-5465
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Mailing Address
-- DOROTHY JEAN WORMELL CDPT
518 S BROWNE ST
SPOKANE, WA 99204-2315
Phone number: 509-456-5465
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