PEGGY D CARRILLO/ DONAHUE

TACOMA, WA
NPI1205071826
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00004281)
Enumeration Date2008-12-10
Last Update Date2008-12-10
Business Address
-- PEGGY D CARRILLO/ DONAHUE CDP
5915 ORCHARD ST W BLDG B
TACOMA, WA 98467-3824
Phone number: 253-473-7474
Mailing Address
-- PEGGY D CARRILLO/ DONAHUE CDP
5915 ORCHARD ST W BLDG B
TACOMA, WA 98467-3824
Phone number: 253-473-7474
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