PENNY KATHLEEN LONG

CHEHALIS, WA
NPI1720561806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60804582)
Enumeration Date2018-09-13
Last Update Date2018-09-13
Business Address
PENNY KATHLEEN LONG CDPT
121 NW CHEHALIS AVE
CHEHALIS, WA 98532-2010
Phone number: 360-740-9767
Mailing Address
PENNY KATHLEEN LONG CDPT
121 NW CHEHALIS AVE
CHEHALIS, WA 98532-2010
Phone number: 360-740-9767
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