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1902157050
SUSAN LYN WAGAMAN
OLYMPIA, WA
NPI
1902157050
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Former Name
SUSAN LYN GIBSON
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA MC60272419)
Enumeration Date
2012-09-28
Last Update Date
2012-09-28
Business Address
Mrs. SUSAN LYN WAGAMAN LMHCA
2100 CATON WAY SW
OLYMPIA, WA 98502-1105
Phone number: 360-866-7406
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Mailing Address
Mrs. SUSAN LYN WAGAMAN LMHCA
2100 CATON WAY SW
OLYMPIA, WA 98502-1105
Phone number: 360-866-7406
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