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1629469648
SHIRLEY LEWIS
VANCOUVER, WA
NPI
1629469648
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA co60349602)
Enumeration Date
2015-02-12
Last Update Date
2015-02-12
Business Address
-- SHIRLEY LEWIS
1601 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3753
Phone number: 360-397-8246
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Mailing Address
-- SHIRLEY LEWIS
PO BOX 1678
VANCOUVER, WA 98668-1678
Phone number:
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