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1881164317
NIKITA DAWN MENDEZ
KELSO, WA
NPI
1881164317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60743994)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
NIKITA DAWN MENDEZ CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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Mailing Address
NIKITA DAWN MENDEZ CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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