KELLEY JEAN BRUSOE

BURIEN, WA
NPI1659846319
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60571280)
Enumeration Date2018-10-09
Last Update Date2018-10-09
Business Address
KELLEY JEAN BRUSOE
1210 SW 136TH ST
BURIEN, WA 98166-1214
Phone number: 206-257-6757
Mailing Address
KELLEY JEAN BRUSOE
3717 148TH ST SW APT C101
LYNNWOOD, WA 98087-5537
Phone number: 920-530-7189
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