RAMA MITCHELL

KELSO, WA
NPI1609266717
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00004525)
Enumeration Date2015-01-27
Last Update Date2024-03-22
Business Address
RAMA MITCHELL SUDP
621 GRADE ST
KELSO, WA 98626-2606
Phone number: 360-425-9210
Mailing Address
RAMA MITCHELL SUDP
1057 12TH AVE
LONGVIEW, WA 98632-2509
Phone number: 360-425-9210
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