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1174095657
LETICIA RUBALCAVA
PORT ANGELES, WA
NPI
1174095657
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60851803)
Enumeration Date
2018-12-21
Last Update Date
2018-12-21
Business Address
LETICIA RUBALCAVA CDPT
221 N RACE ST
PORT ANGELES, WA 98362-3513
Phone number: 360-452-2443
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Mailing Address
LETICIA RUBALCAVA CDPT
PO BOX 2544
PORT ANGELES, WA 98362-0323
Phone number:
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