NICOLE MARIE WAGNER

BELLINGHAM, WA
NPI1851072441
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61421072)
Enumeration Date2023-07-27
Last Update Date2023-07-27
Business Address
NICOLE MARIE WAGNER SUDPT
3240 NORTHWEST AVE
BELLINGHAM, WA 98225-1318
Phone number: 360-450-5025
Mailing Address
NICOLE MARIE WAGNER SUDPT
3240 NORTHWEST AVE
BELLINGHAM, WA 98225-1318
Phone number: 360-450-5025
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