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1497442578
KA'NYSHA LILLY
TACOMA, WA
NPI
1497442578
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-19
Last Update Date
2023-04-19
Business Address
KA'NYSHA LILLY
3640 S CEDAR ST STE M
TACOMA, WA 98409-5700
Phone number: 253-478-0827
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Mailing Address
KA'NYSHA LILLY
3640 S CEDAR ST STE M
TACOMA, WA 98409-5700
Phone number: 253-478-0827
Copy
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