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1427694686
SUSAN LYNN NICHOLLS
EVERETT, WA
NPI
1427694686
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2019-11-22
Last Update Date
2019-11-22
Business Address
SUSAN LYNN NICHOLLS SUDPT
11627 AIRPORT RD STE B
EVERETT, WA 98204-8714
Phone number: 425-248-4900
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Mailing Address
SUSAN LYNN NICHOLLS SUDPT
5729 156TH ST SW
EDMONDS, WA 98026-4617
Phone number: 206-612-3852
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