ALEX LEE BACCUS

CENTRALIA, WA
NPI1356062129
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy175T00000X Peer Specialist
Additional Taxonomies101YM0800X Counselor, Mental Health
Enumeration Date2022-09-08
Last Update Date2022-09-08
Business Address
ALEX LEE BACCUS
1707 COOKS HILL RD
CENTRALIA, WA 98531-9071
Phone number: 360-523-8396
Mailing Address
ALEX LEE BACCUS
1707 COOKS HILL RD
CENTRALIA, WA 98531-9071
Phone number: 360-523-8396
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