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1174955629
CASSANDRA SUSANN WILSON
LAKEWOOD, WA
NPI
1174955629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60316800)
Enumeration Date
2013-08-07
Last Update Date
2013-08-07
Business Address
-- CASSANDRA SUSANN WILSON CDPT
10828 GRAVELLY LAKE DR. SW SUITE 204
LAKEWOOD, WA 98499
Phone number: 253-473-7474
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Mailing Address
-- CASSANDRA SUSANN WILSON CDPT
10828 GRAVELLY LAKE DR. SW SUITE 204
LAKEWOOD, WA 98499
Phone number: 253-473-7474
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