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1780224360
CAROL ANNETTE LEAK
TUKWILA, WA
NPI
1780224360
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP61215945)
Enumeration Date
2020-01-10
Last Update Date
2023-10-31
Business Address
CAROL ANNETTE LEAK
6450 SOUTHCENTER BLVD
TUKWILA, WA 98188-2552
Phone number: 206-466-5012
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Mailing Address
CAROL ANNETTE LEAK
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-353-9494
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