CAROLYN PENCE

MOSES LAKE, WA
NPI1205107497
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60200295)
Enumeration Date2012-01-19
Last Update Date2012-01-19
Business Address
-- CAROLYN PENCE CDPT
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
Mailing Address
-- CAROLYN PENCE CDPT
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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