WINONA CASANOVA

YELM, WA
NPI1366917668
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60011979)
Enumeration Date2018-10-12
Last Update Date2018-10-12
Business Address
WINONA CASANOVA CDP
202 CULLENS ST NW
YELM, WA 98597-9417
Phone number: 360-400-4860
Mailing Address
WINONA CASANOVA CDP
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-0502
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