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1568180743
TIA DUNHAM
VANCOUVER, WA
NPI
1568180743
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2022-08-15
Last Update Date
2022-08-15
Business Address
TIA DUNHAM SUDPt
11719 NE 95TH ST STE A
VANCOUVER, WA 98682-2444
Phone number: 360-954-8482
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Mailing Address
TIA DUNHAM SUDPt
PO BOX 1678
VANCOUVER, WA 98668-1678
Phone number: 360-954-8482
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