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1871357749
LADRA PEARL GRISSOM
TACOMA, WA
NPI
1871357749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2024-02-12
Last Update Date
2024-02-12
Business Address
LADRA PEARL GRISSOM
6201 PACIFIC AVE STE C3
TACOMA, WA 98408-7423
Phone number: 253-363-8853
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Mailing Address
LADRA PEARL GRISSOM
14207 103RD AVENUE CT E APT B303
PUYALLUP, WA 98374-3839
Phone number: 206-638-9836
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