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1194388199
ANGELA BALLANTYNE
VANCOUVER, WA
NPI
1194388199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-04-16
Last Update Date
2019-04-16
Business Address
ANGELA BALLANTYNE
1601 E 4TH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
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Mailing Address
ANGELA BALLANTYNE
2809 NE 97TH WAY
VANCOUVER, WA 98665-5710
Phone number: 503-602-2461
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