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1609909985
BRENDA KAYE LARSON
LONGVIEW, WA
NPI
1609909985
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Former Name
BRENDA KAYE WELDY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-03-14
Last Update Date
2007-07-08
Business Address
Mrs. BRENDA KAYE LARSON MA
921 14TH AVE LOWER COLUMBIA MENTAL HEALTH CTR
LONGVIEW, WA 98632
Phone number: 360-423-2311
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Mailing Address
Mrs. BRENDA KAYE LARSON MA
105 DAVID DEAN WAY
KALAMA, WA 98625
Phone number: 360-673-1799
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