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1376946111
CAROLYN ILENE ANDERSON
TACOMA, WA
NPI
1376946111
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH0011245)
Enumeration Date
2014-10-08
Last Update Date
2014-10-08
Business Address
Ms. CAROLYN ILENE ANDERSON MA
4301 S PINE ST SUITE #501
TACOMA, WA 98409-7264
Phone number: 253-209-4578
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Mailing Address
Ms. CAROLYN ILENE ANDERSON MA
1306 S MONROE ST
TACOMA, WA 98405-1447
Phone number: 253-209-4578
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