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1831884097
LORELEI LINN HANSEN
CENTRALIA, WA
NPI
1831884097
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61401870)
Enumeration Date
2023-04-05
Last Update Date
2023-04-05
Business Address
LORELEI LINN HANSEN SUDPT
1720 S GOLD ST
CENTRALIA, WA 98531-8951
Phone number: 360-261-6930
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Mailing Address
LORELEI LINN HANSEN SUDPT
694 EVANS RD
TOLEDO, WA 98591-9515
Phone number: 360-864-4055
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