SUSAN GAIL MIX

TACOMA, WA
NPI1801925417
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00023513)
Enumeration Date2007-03-02
Last Update Date2007-07-08
Business Address
Ms. SUSAN GAIL MIX counseling intern
1323 YAKIMA AVE
TACOMA, WA 98405-4457
Phone number: 253-502-2696
Mailing Address
Ms. SUSAN GAIL MIX counseling intern
1323 YAKIMA AVE
TACOMA, WA 98405-4457
Phone number: 253-502-2696
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