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1780045674
KATHLEEN JOY WIDDIS
EVERETT, WA
NPI
1780045674
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 60450937)
Enumeration Date
2016-03-18
Last Update Date
2016-03-18
Business Address
-- KATHLEEN JOY WIDDIS CDP
2732 GRAND AVE
EVERETT, WA 98201-3416
Phone number: 425-259-5842
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Mailing Address
-- KATHLEEN JOY WIDDIS CDP
2732 GRAND AVE
EVERETT, WA 98201-3416
Phone number: 425-259-5842
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