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1619747649
KENNADY LAKE
LONGVIEW, WA
NPI
1619747649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WA CG61505391)
Enumeration Date
2024-01-02
Last Update Date
2024-01-02
Business Address
KENNADY LAKE AAC, CPC
1400 COMMERCE AVE
LONGVIEW, WA 98632-3756
Phone number: 360-998-2047
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Mailing Address
KENNADY LAKE AAC, CPC
PO BOX 2394
LONGVIEW, WA 98632-8455
Phone number: 360-200-5419
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