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1417333873
KELLY MCCULLOUGH
PASCO, WA
NPI
1417333873
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60184864)
Enumeration Date
2015-08-07
Last Update Date
2018-10-12
Business Address
KELLY MCCULLOUGH
715 W COURT ST
PASCO, WA 99301-4153
Phone number: 509-554-6506
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Mailing Address
KELLY MCCULLOUGH
1707 W 34TH AVE
KENNEWICK, WA 99337-3838
Phone number:
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