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1184195026
KATHERYN RENAY LARSON
KIRKLAND, WA
NPI
1184195026
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60642390)
Enumeration Date
2018-12-17
Last Update Date
2018-12-17
Business Address
Mrs. KATHERYN RENAY LARSON CP60642390
10322 NE 132ND ST
KIRKLAND, WA 98034-2829
Phone number: 425-823-3116
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Mailing Address
Mrs. KATHERYN RENAY LARSON CP60642390
10322 NE 132ND ST
KIRKLAND, WA 98034-2829
Phone number: 425-823-3116
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