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1245707165
MICHELLE MARIE MAHAN
YAKIMA, WA
NPI
1245707165
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60615957)
Enumeration Date
2018-10-29
Last Update Date
2018-10-29
Business Address
MICHELLE MARIE MAHAN
600 SUPERIOR LN
YAKIMA, WA 98902-1623
Phone number: 509-853-4154
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Mailing Address
MICHELLE MARIE MAHAN
600 SUPERIOR LN
YAKIMA, WA 98902-1623
Phone number: 509-853-4154
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