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1518691609
MAGDALENA LAVECCHIA
SUQUAMISH, WA
NPI
1518691609
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61117076)
Enumeration Date
2022-07-13
Last Update Date
2022-07-13
Business Address
MAGDALENA LAVECCHIA C061117076 SUDPT
18490 SUQUAMISH WAY NE
SUQUAMISH, WA 98392-9532
Phone number: 360-394-8558
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Mailing Address
MAGDALENA LAVECCHIA C061117076 SUDPT
PO BOX 1228
SUQUAMISH, WA 98392-1228
Phone number: 360-394-8558
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