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1225493505
JUDITH VELASQUEZ
PUYALLUP, WA
NPI
1225493505
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60614438)
Enumeration Date
2015-12-30
Last Update Date
2015-12-30
Business Address
-- JUDITH VELASQUEZ
12812 101ST AVENUE CT E SUITE 202
PUYALLUP, WA 98373-9101
Phone number: 253-864-4770
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Mailing Address
-- JUDITH VELASQUEZ
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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