MARIELLE IRENE EVANGELISTA FILLER

VANCOUVER, WA
NPI1427427236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60537143)
Enumeration Date2015-09-22
Last Update Date2015-09-22
Business Address
Ms. MARIELLE IRENE EVANGELISTA FILLER
1601 E 4TH PLAIN BLVD BLDG 17 STE B222
VANCOUVER, WA 98661-3753
Phone number: 360-397-8484
Mailing Address
Ms. MARIELLE IRENE EVANGELISTA FILLER
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8484
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