PHYLLIS DEANE JOHNSON-HAYTE

TACOMA, WA
NPI1417092842
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00001004)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- PHYLLIS DEANE JOHNSON-HAYTE CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
Mailing Address
-- PHYLLIS DEANE JOHNSON-HAYTE CDP
2030 E 35TH ST
TACOMA, WA 98404-4813
Phone number: 253-396-1193
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