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1629715487
SUZANNE BLACK
TUMWATER, WA
NPI
1629715487
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61068321)
Enumeration Date
2022-05-13
Last Update Date
2022-05-13
Business Address
SUZANNE BLACK
1534 BISHOP RD SW
TUMWATER, WA 98512-7354
Phone number: 360-357-2370
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Mailing Address
SUZANNE BLACK
1534 BISHOP RD SW
TUMWATER, WA 98512-7354
Phone number: 360-357-2370
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