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1881235448
SHANNAN D HEADRICK
CHEHALIS, WA
NPI
1881235448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60904459)
Enumeration Date
2019-10-04
Last Update Date
2019-10-04
Business Address
SHANNAN D HEADRICK
121 NW CHEHALIS AVE
CHEHALIS, WA 98532-2010
Phone number: 360-740-9767
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Mailing Address
SHANNAN D HEADRICK
PO BOX 1371
CHEHALIS, WA 98532-0340
Phone number:
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