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1770833014
STACEY NIXON
VANCOUVER, WA
NPI
1770833014
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA 60879023)
Additional Taxonomies
101Y00000X Counselor
Enumeration Date
2012-09-13
Last Update Date
2020-10-14
Business Address
Miss STACEY NIXON
309 W 12TH ST
VANCOUVER, WA 98660
Phone number: 360-695-9803
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Mailing Address
Miss STACEY NIXON
PO BOX 605
VANCOUVER, WA 98666-0605
Phone number: 360-695-1325
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