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1346468964
CHARLES A FANUCCHI
KENT, WA
NPI
1346468964
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW00006266)
Enumeration Date
2007-04-20
Last Update Date
2007-07-08
Business Address
CHARLES A FANUCCHI LSW
325 W GOWE ST
KENT, WA 98032-5892
Phone number: 253-520-9350
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Mailing Address
CHARLES A FANUCCHI LSW
2704 I ST NE
AUBURN, WA 98002-2411
Phone number: 253-833-7444
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