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1225672546
PAMELA LEIGH LIDIK
PUYALLUP, WA
NPI
1225672546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CM60381493)
Enumeration Date
2019-10-30
Last Update Date
2019-10-30
Business Address
PAMELA LEIGH LIDIK
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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Mailing Address
PAMELA LEIGH LIDIK
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
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