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1467922906
BREANNA SLAPE-LORENZO
KELSO, WA
NPI
1467922906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA cp60735570)
Enumeration Date
2018-11-27
Last Update Date
2021-05-03
Business Address
BREANNA SLAPE-LORENZO
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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Mailing Address
BREANNA SLAPE-LORENZO
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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