KELLY GOODNIGHT

TACOMA, WA
NPI1720402514
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CP 60050042)
Enumeration Date2014-02-13
Last Update Date2024-08-14
Business Address
KELLY GOODNIGHT SUDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
Mailing Address
KELLY GOODNIGHT SUDP
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-649-1406
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