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1649965104
IRENE GUADALUPE IBARRA
MOUNT VERNON, WA
NPI
1649965104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61415367)
Enumeration Date
2023-04-10
Last Update Date
2023-04-10
Business Address
IRENE GUADALUPE IBARRA
1010 E COLLEGE WAY
MOUNT VERNON, WA 98273-5624
Phone number: 360-542-8920
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Mailing Address
IRENE GUADALUPE IBARRA
2300 E KINCAID ST
MOUNT VERNON, WA 98274-4747
Phone number:
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