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1386001832
JOHNETTE FABRA
TACOMA, WA
NPI
1386001832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 00002876)
Enumeration Date
2016-01-27
Last Update Date
2016-01-28
Business Address
-- JOHNETTE FABRA CP 00002876
1016 S 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-680-2691
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Mailing Address
-- JOHNETTE FABRA CP 00002876
1016 S 28TH ST
TACOMA, WA 98409-8020
Phone number: 253-680-2691
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