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1770051674
CARON ELIZABETH WALLACE
PORT ANGELES, WA
NPI
1770051674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60696850)
Enumeration Date
2018-11-08
Last Update Date
2018-11-08
Business Address
CARON ELIZABETH WALLACE CDPT
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
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Mailing Address
CARON ELIZABETH WALLACE CDPT
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
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