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1720428394
GIDGET M PORTNER
VANCOUVER, WA
NPI
1720428394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60365315)
Enumeration Date
2013-06-27
Last Update Date
2013-06-27
Business Address
Ms. GIDGET M PORTNER CDPT
1601 E 4TH PLAIN BLVD BLDG 17 STE B222
VANCOUVER, WA 98661-3753
Phone number: 360-397-8484
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Mailing Address
Ms. GIDGET M PORTNER CDPT
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8484
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