MARY L LAVILLE

NEWPORT, WA
NPI1629120274
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2007-01-16
Last Update Date2007-07-08
Business Address
-- MARY L LAVILLE
105 SOUTH GARDEN AVE
NEWPORT, WA 99156-5055
Phone number: 509-447-5651
Mailing Address
-- MARY L LAVILLE
PO BOX 5055
NEWPORT, WA 99156-5055
Phone number: 509-447-5651
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