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1902325350
ELIZABETH M VITAL-GRAGNANI
EVERETT, WA
NPI
1902325350
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60792785)
Enumeration Date
2017-09-18
Last Update Date
2017-09-18
Business Address
ELIZABETH M VITAL-GRAGNANI
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-258-2407
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Mailing Address
ELIZABETH M VITAL-GRAGNANI
17051 2ND AVE NW
SHORELINE, WA 98177-3605
Phone number:
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