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1831827526
ANDREA VIZCAINO
VANCOUVER, WA
NPI
1831827526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61326935)
Enumeration Date
2022-08-10
Last Update Date
2022-08-10
Business Address
ANDREA VIZCAINO SUDPT
2924 FALK RD
VANCOUVER, WA 98661-5604
Phone number: 360-690-3069
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Mailing Address
ANDREA VIZCAINO SUDPT
2204 NE 140TH ST
VANCOUVER, WA 98686-3020
Phone number: 360-721-9191
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