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1205276607
LISA R SEVENER
YAKIMA, WA
NPI
1205276607
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60375840)
Enumeration Date
2013-06-28
Last Update Date
2013-06-28
Business Address
-- LISA R SEVENER
402 S 4TH AVE
YAKIMA, WA 98902-3546
Phone number: 509-575-4084
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Mailing Address
-- LISA R SEVENER
PO BOX 959
YAKIMA, WA 98907-0959
Phone number: 509-575-4084
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