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1811448681
LACEY JOSEPHSEN
VANCOUVER, WA
NPI
1811448681
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60472102)
Enumeration Date
2016-10-17
Last Update Date
2016-10-17
Business Address
-- LACEY JOSEPHSEN CDPT
2924 FALK RD
VANCOUVER, WA 98661-5604
Phone number: 360-750-9588
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Mailing Address
-- LACEY JOSEPHSEN CDPT
2924 FALK RD
VANCOUVER, WA 98661-5604
Phone number: 360-750-9588
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