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1700065877
MIKEL CUMMINGS BOATMAN
KENNEWICK, WA
NPI
1700065877
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60011890)
Enumeration Date
2007-10-25
Last Update Date
2020-05-13
Business Address
MIKEL CUMMINGS BOATMAN SUDP
415 N MORAIN ST
KENNEWICK, WA 99336-2667
Phone number: 509-735-6900
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Mailing Address
MIKEL CUMMINGS BOATMAN SUDP
415 N MORAIN ST
KENNEWICK, WA 99336-2667
Phone number: 509-735-6900
Copy
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