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1851072441
NICOLE MARIE WAGNER
BELLINGHAM, WA
NPI
1851072441
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61421072)
Enumeration Date
2023-07-27
Last Update Date
2023-07-27
Business Address
NICOLE MARIE WAGNER SUDPT
3240 NORTHWEST AVE
BELLINGHAM, WA 98225-1318
Phone number: 360-450-5025
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Mailing Address
NICOLE MARIE WAGNER SUDPT
3240 NORTHWEST AVE
BELLINGHAM, WA 98225-1318
Phone number: 360-450-5025
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