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1881166932
JOHANNA LOUISE INGALLS
PORT ANGELES, WA
NPI
1881166932
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60640883)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
JOHANNA LOUISE INGALLS MA, CDP
221 N RACE ST
PORT ANGELES, WA 98362-3513
Phone number: 360-452-2443
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Mailing Address
JOHANNA LOUISE INGALLS MA, CDP
221 N RACE ST
PORT ANGELES, WA 98362-3513
Phone number: 360-452-2443
Copy
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