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1467181016
SUSAN DIANE CARRIKER
LONGVIEW, WA
NPI
1467181016
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-06-08
Last Update Date
2022-06-08
Business Address
SUSAN DIANE CARRIKER
1128 BROADWAY ST
LONGVIEW, WA 98632-3831
Phone number: 360-669-9199
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Mailing Address
SUSAN DIANE CARRIKER
1128 BROADWAY ST
LONGVIEW, WA 98632-3831
Phone number:
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