DODDIE A LAGERVALL

PORT ORCHARD, WA
NPI1669981510
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60310560)
Enumeration Date2017-09-22
Last Update Date2017-09-22
Business Address
DODDIE A LAGERVALL Cp60310560
320 S KITSAP BLVD
PORT ORCHARD, WA 98366-3778
Phone number: 360-377-3776
Mailing Address
DODDIE A LAGERVALL Cp60310560
PO BOX 960
BREMERTON, WA 98337-0212
Phone number:
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