MINDY LORRAINE TAITANO

KELSO, WA
NPI1376214247
Former NameMINDY LORRAINE WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2021-09-21
Last Update Date2021-09-21
Business Address
Mrs. MINDY LORRAINE TAITANO
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-356-7775
Mailing Address
Mrs. MINDY LORRAINE TAITANO
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-353-7775
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