TARAE BLACKMON

TACOMA, WA
NPI1760195481
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2022-12-27
Last Update Date2022-12-27
Business Address
TARAE BLACKMON SUDP
721 FAWCETT AVE STE 204
TACOMA, WA 98402-5502
Phone number: 253-389-3383
Mailing Address
TARAE BLACKMON SUDP
6536 A ST
TACOMA, WA 98408-7308
Phone number: 253-754-7389
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