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1376213744
MISSICA L DERHALLI
BELLINGHAM, WA
NPI
1376213744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2021-09-16
Last Update Date
2021-09-22
Business Address
MISSICA L DERHALLI
1133 RAILROAD AVE STE 100
BELLINGHAM, WA 98225-5054
Phone number: 360-393-6127
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Mailing Address
MISSICA L DERHALLI
110 35TH ST
BELLINGHAM, WA 98225-6053
Phone number:
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