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1649752395
CAROLE DIANE GIBSON
YAKIMA, WA
NPI
1649752395
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA 60752467)
Enumeration Date
2018-08-29
Last Update Date
2018-08-29
Business Address
MRS. CAROLE DIANE GIBSON CDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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Mailing Address
MRS. CAROLE DIANE GIBSON CDPT
315 N 2ND ST
YAKIMA, WA 98901-2334
Phone number: 509-469-9366
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