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1508632753
TERRAH ELIZABETH SHORT
BELLINGHAM, WA
NPI
1508632753
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61251698)
Enumeration Date
2023-11-29
Last Update Date
2023-11-29
Business Address
TERRAH ELIZABETH SHORT SUDPT
1603 E ILLINOIS ST
BELLINGHAM, WA 98226-3644
Phone number: 360-647-4266
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Mailing Address
TERRAH ELIZABETH SHORT SUDPT
756 F ST APT 1
BLAINE, WA 98230-5187
Phone number: 206-473-0029
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