DESERIE M FILLMORE HARDY

CHEHALIS, WA
NPI1760501183
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00003653)
Enumeration Date2007-03-28
Last Update Date2008-12-11
Business Address
-- DESERIE M FILLMORE HARDY MCP, CDP
135 W MAIN ST
CHEHALIS, WA 98532-4817
Phone number: 360-748-6696
Mailing Address
-- DESERIE M FILLMORE HARDY MCP, CDP
519 S IRON ST
CENTRALIA, WA 98531-3923
Phone number: 253-882-7623
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