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1245092139
KATHRYN MARIA GREEN
TACOMA, WA
NPI
1245092139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00002975)
Enumeration Date
2024-01-25
Last Update Date
2024-01-25
Business Address
KATHRYN MARIA GREEN SUDP
12606 A ST S APT A2
TACOMA, WA 98444-5021
Phone number: 509-954-5748
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Mailing Address
KATHRYN MARIA GREEN SUDP
12606 A ST S APT A2
TACOMA, WA 98444-5021
Phone number: 509-954-5748
Copy
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