LESLIE STANYER

LONGVIEW, WA
NPI1679025019
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP60688878)
Enumeration Date2016-11-02
Last Update Date2022-11-30
Business Address
MRS. LESLIE STANYER SUDP
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-575-8275
Mailing Address
MRS. LESLIE STANYER SUDP
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-353-9494