LADONYA S TICESON

BURIEN, WA
NPI1578038238
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60625599)
Enumeration Date2018-10-09
Last Update Date2018-10-09
Business Address
LADONYA S TICESON
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6600
Mailing Address
LADONYA S TICESON
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6600
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