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1881177988
LARISSA JEAN DUCKETT
SEATTLE, WA
NPI
1881177988
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-09-13
Last Update Date
2020-12-01
Business Address
LARISSA JEAN DUCKETT
2133 3RD AVE
SEATTLE, WA 98121-2385
Phone number: 206-308-9288
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Mailing Address
LARISSA JEAN DUCKETT
2133 3RD AVE
SEATTLE, WA 98121-2385
Phone number: 206-308-9288
Copy
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