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1801004759
ALICIA VELASQUEZ
YAKIMA, WA
NPI
1801004759
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2007-05-21
Last Update Date
2007-07-08
Business Address
-- ALICIA VELASQUEZ
505 S 4TH AVE
YAKIMA, WA 98902-3547
Phone number: 509-575-4084
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Mailing Address
-- ALICIA VELASQUEZ
PO BOX 959
YAKIMA, WA 98907-0959
Phone number:
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