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1639771843
STEPHANIE H MICHELSON
TACOMA, WA
NPI
1639771843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-11-12
Last Update Date
2020-11-12
Business Address
STEPHANIE H MICHELSON SUDPT
2156 PACIFIC AVE
TACOMA, WA 98402-3004
Phone number: 253-200-0505
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Mailing Address
STEPHANIE H MICHELSON SUDPT
2156 PACIFIC AVE
TACOMA, WA 98402-3004
Phone number: 253-200-0505
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