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1851771737
TAVIA LANGENBACKER
VANCOUVER, WA
NPI
1851771737
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA CG60558334)
Enumeration Date
2015-06-04
Last Update Date
2015-06-04
Business Address
-- TAVIA LANGENBACKER
1014 MAIN ST
VANCOUVER, WA 98660-3151
Phone number: 360-695-1014
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Mailing Address
-- TAVIA LANGENBACKER
1014 MAIN ST
VANCOUVER, WA 98660-3151
Phone number: 360-695-1014
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