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1770359804
DESTINY LYNN HANNA
KELSO, WA
NPI
1770359804
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61636878)
Enumeration Date
2023-11-29
Last Update Date
2024-12-17
Business Address
DESTINY LYNN HANNA
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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Mailing Address
DESTINY LYNN HANNA
1302 COMMERCE AVE
LONGVIEW, WA 98632-3096
Phone number: 360-423-2806
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