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1508621756
STACEY WELLS
KENNEWICK, WA
NPI
1508621756
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61414828)
Enumeration Date
2024-02-16
Last Update Date
2024-02-16
Business Address
STACEY WELLS SUDPT
7510 W DESCHUTES PL
KENNEWICK, WA 99336-7719
Phone number: 509-579-0738
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Mailing Address
STACEY WELLS SUDPT
7510 W DESCHUTES PL
KENNEWICK, WA 99336-7719
Phone number: 509-579-0738
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