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1437695145
ALLICA AYRES
TUMWATER, WA
NPI
1437695145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61556977)
Enumeration Date
2017-01-19
Last Update Date
2024-06-25
Business Address
ALLICA AYRES
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6867
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Mailing Address
ALLICA AYRES
15025 TAHOMA BLVD SE APT C202
YELM, WA 98597-7764
Phone number: 951-505-2592
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