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1801925417
SUSAN GAIL MIX
TACOMA, WA
NPI
1801925417
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA RC00023513)
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
MS. SUSAN GAIL MIX COUNSELING INTERN
1323 YAKIMA AVE
TACOMA, WA 98405-4457
Phone number: 253-502-2696
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Mailing Address
MS. SUSAN GAIL MIX COUNSELING INTERN
1323 YAKIMA AVE
TACOMA, WA 98405-4457
Phone number: 253-502-2696
Copy
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