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1255536199
STEPHANIE LOUISE MOONEY
RICHLAND, WA
NPI
1255536199
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00001109)
Enumeration Date
2007-06-20
Last Update Date
2007-07-08
Business Address
-- STEPHANIE LOUISE MOONEY CDP
614 BASSWOOD AVE
RICHLAND, WA 99352-3672
Phone number: 509-942-1176
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Mailing Address
-- STEPHANIE LOUISE MOONEY CDP
614 BASSWOOD AVE
RICHLAND, WA 99352-3672
Phone number: 509-942-1176
Copy
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