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1356409684
SUSAN M KOSTMAN
VANCOUVER, WA
NPI
1356409684
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00000691)
Enumeration Date
2006-12-06
Last Update Date
2007-07-08
Business Address
-- SUSAN M KOSTMAN CDP
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Phone number: 360-993-3000
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Mailing Address
-- SUSAN M KOSTMAN CDP
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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