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1831912500
VICTORIA OH
TUMWATER, WA
NPI
1831912500
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61610973)
Enumeration Date
2024-11-01
Last Update Date
2024-11-01
Business Address
VICTORIA OH
1534 BISHOP RD SW
TUMWATER, WA 98512-7354
Phone number: 360-357-2370
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Mailing Address
VICTORIA OH
4442 FREEMONT ST NE
LACEY, WA 98516-1338
Phone number: 631-235-7987
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