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1821531823
CORIE CANOVA
VANCOUVER, WA
NPI
1821531823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60875549)
Enumeration Date
2016-11-22
Last Update Date
2024-12-02
Business Address
CORIE CANOVA SUDP
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number: 360-993-3000
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Mailing Address
CORIE CANOVA SUDP
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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