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1255766036
SHANNON JOY BALES
SEATTLE, WA
NPI
1255766036
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60584663)
Enumeration Date
2013-09-11
Last Update Date
2016-05-05
Business Address
-- SHANNON JOY BALES
1116 SUMMIT AVE
SEATTLE, WA 98101-2831
Phone number: 206-323-0930
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Mailing Address
-- SHANNON JOY BALES
1116 SUMMIT AVE
SEATTLE, WA 98101-2831
Phone number: 206-323-0930
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