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1699241315
THERESA A HENDERSON
COLVILLE, WA
NPI
1699241315
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA CG60899317)
Enumeration Date
2018-10-19
Last Update Date
2018-10-19
Business Address
THERESA A HENDERSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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Mailing Address
THERESA A HENDERSON
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-684-4597
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