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1730653429
CLARA ANTIONETTE NICHOLS
SEATTLE, WA
NPI
1730653429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60338711)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
CLARA ANTIONETTE NICHOLS CDPT
861 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 844-987-9274
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Mailing Address
CLARA ANTIONETTE NICHOLS CDPT
861 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 844-987-9274
Copy
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