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1205373016
LUISA SHEPPARD
PORT ANGELES, WA
NPI
1205373016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60711557)
Enumeration Date
2017-01-31
Last Update Date
2017-01-31
Business Address
-- LUISA SHEPPARD
3430 E HIGHWAY 101 STE 3
PORT ANGELES, WA 98362-9069
Phone number: 362-452-4062
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Mailing Address
-- LUISA SHEPPARD
3430 E HIGHWAY 101 STE 3
PORT ANGELES, WA 98362-9069
Phone number: 362-452-4062
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