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1184279713
CHRISTINA MARIE DIEFEL
PORT ORCHARD, WA
NPI
1184279713
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO60964751)
Enumeration Date
2019-08-09
Last Update Date
2023-11-27
Business Address
CHRISTINA MARIE DIEFEL CDPT
614 DIVISION ST # MS 19
PORT ORCHARD, WA 98366-4614
Phone number: 360-337-4625
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Mailing Address
CHRISTINA MARIE DIEFEL CDPT
614 DIVISION ST # MS 19
PORT ORCHARD, WA 98366-4614
Phone number: 360-337-4625
Copy
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