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1255645081
DIXIE MYAVA RICHARDSON
LACEY, WA
NPI
1255645081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH 60210060)
Enumeration Date
2010-08-04
Last Update Date
2011-04-13
Business Address
-- DIXIE MYAVA RICHARDSON LMHC
4520 LACEY BLVD SE SUITE #21
LACEY, WA 98503-5752
Phone number: 360-870-4095
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Mailing Address
-- DIXIE MYAVA RICHARDSON LMHC
4520 LACEY BLVD SE SUITE #21
LACEY, WA 98503-5752
Phone number: 360-870-4095
Copy
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