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1699371534
KASIE ENNIS
TACOMA, WA
NPI
1699371534
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA MC60929279)
Enumeration Date
2020-12-07
Last Update Date
2020-12-07
Business Address
KASIE ENNIS
240 S STADIUM WAY
TACOMA, WA 98402-4802
Phone number: 951-588-5651
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Mailing Address
KASIE ENNIS
4750 N WATERVIEW ST
TACOMA, WA 98407-5117
Phone number: 951-588-5651
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