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1396494332
MICAH LARSEN BRANNON
WENATCHEE, WA
NPI
1396494332
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61152752)
Enumeration Date
2022-03-18
Last Update Date
2022-03-18
Business Address
MICAH LARSEN BRANNON SUDPT
819 N MILLER ST STE 1B
WENATCHEE, WA 98801-6604
Phone number: 509-664-4592
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Mailing Address
MICAH LARSEN BRANNON SUDPT
600 ORONDO AVE STE 1
WENATCHEE, WA 98801-2800
Phone number: 509-662-6000
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