CARON ELIZABETH WALLACE

PORT ANGELES, WA
NPI1770051674
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  60696850)
Enumeration Date2018-11-08
Last Update Date2018-11-08
Business Address
CARON ELIZABETH WALLACE CDPT
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
Mailing Address
CARON ELIZABETH WALLACE CDPT
825 E 5TH ST
PORT ANGELES, WA 98362-3818
Phone number: 360-477-4790
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