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1447643432
EMILY DE VINE
VANCOUVER, WA
NPI
1447643432
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Former Name
EMILY MCCULLOUGH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60284828)
Enumeration Date
2015-03-15
Last Update Date
2015-03-15
Business Address
-- EMILY DE VINE
7415 NE 94TH AVE
VANCOUVER, WA 98662-3859
Phone number: 360-253-6019
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Mailing Address
-- EMILY DE VINE
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-253-6019
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