SAMANTHA LA WILSON

ENUMCLAW, WA
NPI1568983252
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60757690)
Enumeration Date2017-07-03
Last Update Date2017-07-03
Business Address
SAMANTHA LA WILSON CDPT
28115 SE 451ST ST
ENUMCLAW, WA 98022-9204
Phone number: 360-640-5312
Mailing Address
SAMANTHA LA WILSON CDPT
100 WELLNESS WAY
NEAH BAY, WA 98357
Phone number:
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