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1801438106
ELIZABETH ROSE PECK
VANCOUVER, WA
NPI
1801438106
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Professional Name
ELLIE ROSE THERAPY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC61069022)
Enumeration Date
2019-10-08
Last Update Date
2022-06-13
Business Address
ELIZABETH ROSE PECK
400 E EVERGREEN BLVD STE 102
VANCOUVER, WA 98660-3263
Phone number: 360-935-0644
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Mailing Address
ELIZABETH ROSE PECK
400 E EVERGREEN BLVD STE 102
VANCOUVER, WA 98660-3263
Phone number: 360-935-0644
Copy
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