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1285101360
MICHELLE M CHISHOLM
CHEHALIS, WA
NPI
1285101360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60114318)
Enumeration Date
2018-10-26
Last Update Date
2022-05-11
Business Address
MICHELLE M CHISHOLM SUDP
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4774
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Mailing Address
MICHELLE M CHISHOLM SUDP
500 SE WASHINGTON AVE
CHEHALIS, WA 98532-3058
Phone number: 360-748-4776
Copy
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