NICHOLE RAE GREENE

LAKEWOOD, WA
NPI1568196533
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61217566)
Enumeration Date2022-07-14
Last Update Date2022-07-14
Business Address
Miss NICHOLE RAE GREENE CO 61217566
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-584-3996
Mailing Address
Miss NICHOLE RAE GREENE CO 61217566
3202 S MASON AVE APT D307
TACOMA, WA 98409-2295
Phone number: 775-400-0299
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