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1720550486
NICOLE JACQUELINE TANNHEIMER
RENTON, WA
NPI
1720550486
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00005781)
Enumeration Date
2018-12-19
Last Update Date
2018-12-19
Business Address
NICOLE JACQUELINE TANNHEIMER BFA, CDP, NCAC I
1000 SW 7TH ST STE B
RENTON, WA 98057-5216
Phone number: 206-248-4358
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Mailing Address
NICOLE JACQUELINE TANNHEIMER BFA, CDP, NCAC I
1000 SW 7TH STE. B
RENTON, WA 98057
Phone number: 206-248-4358
Copy
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