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1801240361
ALYSSIA LUCAS
EVERETT, WA
NPI
1801240361
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
320800000X Community Based Residential Treatment Facility, Mental Illness
(Licence: WA LUCASANO65K4)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
-- ALYSSIA LUCAS
6510 CADY RD
EVERETT, WA 98203-4520
Phone number: 425-931-5508
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Mailing Address
-- ALYSSIA LUCAS
6510 CADY RD
EVERETT, WA 98203
Phone number: 425-931-5508
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