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1215565247
BRITANIA RAQUEL ISON
PORT ORCHARD, WA
NPI
1215565247
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA BHA.FS.60892207)
Enumeration Date
2020-03-27
Last Update Date
2020-03-27
Business Address
BRITANIA RAQUEL ISON SUDPT
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-873-9430
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Mailing Address
BRITANIA RAQUEL ISON SUDPT
1415 LUMSDEN RD
PORT ORCHARD, WA 98367-9179
Phone number: 360-873-9430
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