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1407018997
SYBIL M IVERSON
LONGVIEW, WA
NPI
1407018997
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003686)
Enumeration Date
2008-06-26
Last Update Date
2011-09-21
Business Address
-- SYBIL M IVERSON CDP
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-575-3316
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Mailing Address
-- SYBIL M IVERSON CDP
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-575-3316
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