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1407310501
CRYSTAL C ST LOUIS
LAKEWOOD, WA
NPI
1407310501
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Former Name
CRYSTAL C GEORGES
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60882141)
Enumeration Date
2019-01-23
Last Update Date
2019-01-23
Business Address
CRYSTAL C ST LOUIS MSC
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
CRYSTAL C ST LOUIS MSC
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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