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1366088874
ELISABETH DENAY MULLIN-GROSS
SHELTON, WA
NPI
1366088874
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
ELISABETH DENAY MULLIN-GROSS
307 W COTA ST
SHELTON, WA 98584-2265
Phone number: 253-353-9011
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Mailing Address
ELISABETH DENAY MULLIN-GROSS
8701 29TH WAY SE
OLYMPIA, WA 98513-3437
Phone number: 253-353-9011
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