IVELISSE VALLELLANES SANTIAGO

SHELTON, WA
NPI1215410550
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2018-09-12
Last Update Date2018-09-12
Business Address
IVELISSE VALLELLANES SANTIAGO MA
627 W FRANKLIN ST
SHELTON, WA 98584-3504
Phone number: 360-763-5610
Mailing Address
IVELISSE VALLELLANES SANTIAGO MA
1650 HONEYSUCKLE LN SW APT 22-304
TUMWATER, WA 98512-6099
Phone number: 939-777-6978
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