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1265582654
JODY STILLWAUGH
YAKIMA, WA
NPI
1265582654
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003749)
Enumeration Date
2007-01-10
Last Update Date
2010-02-03
Business Address
-- JODY STILLWAUGH
2510 BIRCHFIELD RD UNIT 1
YAKIMA, WA 98901-9534
Phone number: 509-494-9170
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Mailing Address
-- JODY STILLWAUGH
2510 BIRCHFIELD RD UNIT 1
YAKIMA, WA 98901-9534
Phone number: 509-494-9170
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