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1790272508
KELLY ANNETTE MILLS
TUMWATER, WA
NPI
1790272508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60562513)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
KELLY ANNETTE MILLS CDP
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6873
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Mailing Address
KELLY ANNETTE MILLS CDP
1656 SUNFLOWER LN SW APT 20-202
TUMWATER, WA 98512-0440
Phone number: 360-790-7533
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