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1710157292
TEWANA Y. MARTIN
AUBURN, WA
NPI
1710157292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP00003063)
Enumeration Date
2008-03-11
Last Update Date
2008-03-11
Business Address
TEWANA Y. MARTIN CDP
17500 SE 392ND ST
AUBURN, WA 98092-9705
Phone number: 253-939-6648
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Mailing Address
TEWANA Y. MARTIN CDP
17500 SE 392ND ST
AUBURN, WA 98092-9705
Phone number: 253-939-6648
Copy
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