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1770944605
GINNY WALTNER
EVERETT, WA
NPI
1770944605
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60412019)
Enumeration Date
2016-03-20
Last Update Date
2016-03-22
Business Address
-- GINNY WALTNER CDPT
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-322-0851
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Mailing Address
-- GINNY WALTNER CDPT
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-322-0851
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