MAUDE LAVERNE NICKOLOFF

YAKIMA, WA
NPI1629544978
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-15
Last Update Date2018-10-15
Business Address
MAUDE LAVERNE NICKOLOFF CDP
2280 WA-821
YAKIMA, WA 98901
Phone number: 509-457-0990
Mailing Address
MAUDE LAVERNE NICKOLOFF CDP
PO BOX 217
SELAH, WA 98942-0217
Phone number:
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