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1669981510
DODDIE A LAGERVALL
PORT ORCHARD, WA
NPI
1669981510
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60310560)
Enumeration Date
2017-09-22
Last Update Date
2017-09-22
Business Address
DODDIE A LAGERVALL Cp60310560
320 S KITSAP BLVD
PORT ORCHARD, WA 98366-3778
Phone number: 360-377-3776
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Mailing Address
DODDIE A LAGERVALL Cp60310560
PO BOX 960
BREMERTON, WA 98337-0212
Phone number:
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