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1790947737
THEODORA VAUGHN WILLIAMS
WRANGELL, AK
NPI
1790947737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AK 2673)
Enumeration Date
2008-07-01
Last Update Date
2008-07-01
Business Address
-- THEODORA VAUGHN WILLIAMS CDCI
333 CHURCH ST
WRANGELL, AK 99929
Phone number: 907-305-3055
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Mailing Address
-- THEODORA VAUGHN WILLIAMS CDCI
BOX 1731 219 GREIF ST
WRANGELL, AK 99929
Phone number: 907-305-3055
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