PAULA M GORMON

COLVILLE, WA
NPI1699844241
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00004731)
Enumeration Date2006-11-07
Last Update Date2007-07-08
Business Address
-- PAULA M GORMON CDP
165 E HAWTHORNE AVE
COLVILLE, WA 99114-2629
Phone number: 509-685-0656
Mailing Address
-- PAULA M GORMON CDP
398 CORBETT CREEK RD
COLVILLE, WA 99114-9668
Phone number: 509-685-1354
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