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1508322629
NICOLE HUSTED
WALLA WALLA, WA
NPI
1508322629
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60931174)
Enumeration Date
2019-02-13
Last Update Date
2019-02-13
Business Address
NICOLE HUSTED
919 S 2ND AVE
WALLA WALLA, WA 99362-4114
Phone number: 509-529-6036
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Mailing Address
NICOLE HUSTED
919 S 2ND AVE
WALLA WALLA, WA 99362-4114
Phone number:
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