SHELLIENE BRIANNE MANN

TUMWATER, WA
NPI1497464499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  61255065)
Enumeration Date2022-11-17
Last Update Date2022-11-17
Business Address
SHELLIENE BRIANNE MANN SUDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6872
Mailing Address
SHELLIENE BRIANNE MANN SUDPT
1301 B ST
CENTRALIA, WA 98531-5007
Phone number: 360-791-0866
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