CAROL ANNETTE LEAK

TUKWILA, WA
NPI1780224360
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP61215945)
Enumeration Date2020-01-10
Last Update Date2023-10-31
Business Address
CAROL ANNETTE LEAK
6450 SOUTHCENTER BLVD
TUKWILA, WA 98188-2552
Phone number: 206-466-5012
Mailing Address
CAROL ANNETTE LEAK
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-353-9494
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