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1215542501
MAYA ELIZABETH CALDWELL ELEAZER
EVERETT, WA
NPI
1215542501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61082730)
Enumeration Date
2020-09-13
Last Update Date
2020-09-13
Business Address
MAYA ELIZABETH CALDWELL ELEAZER
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-493-5310
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Mailing Address
MAYA ELIZABETH CALDWELL ELEAZER
PO BOX 101
INDEX, WA 98256-0101
Phone number:
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