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1245761675
SOPHIA STANLEY
LACEY, WA
NPI
1245761675
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60312841)
Enumeration Date
2017-03-27
Last Update Date
2017-03-27
Business Address
-- SOPHIA STANLEY CP60312841
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 360-493-5045
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Mailing Address
-- SOPHIA STANLEY CP60312841
4800 COLLEGE ST SE
LACEY, WA 98503-4389
Phone number: 360-493-5045
Copy
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