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1790467603
DENISE KELLY MARSHALL
VANCOUVER, WA
NPI
1790467603
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61461677)
Enumeration Date
2023-08-01
Last Update Date
2023-08-01
Business Address
DENISE KELLY MARSHALL CO61461677
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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Mailing Address
DENISE KELLY MARSHALL CO61461677
10400 NE 53RD ST # 72
VANCOUVER, WA 98662-6179
Phone number: 360-952-9196
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