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1679878813
SUSY SO
PASCO, WA
NPI
1679878813
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH60140410)
Enumeration Date
2011-01-19
Last Update Date
2011-01-19
Business Address
-- SUSY SO
720 W COURT ST STE 8
PASCO, WA 99301-4178
Phone number: 509-545-6506
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Mailing Address
-- SUSY SO
PO BOX 1452
PASCO, WA 99301-1452
Phone number: 509-547-2204
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