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1205071826
PEGGY D CARRILLO/ DONAHUE
TACOMA, WA
NPI
1205071826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00004281)
Enumeration Date
2008-12-10
Last Update Date
2024-12-15
Business 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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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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