STACEY MORT

BREMERTON, WA
NPI1902392160
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60622827)
Enumeration Date2018-07-10
Last Update Date2020-01-29
Business Address
STACEY MORT
1520 NE RIDDELL RD # 110
BREMERTON, WA 98310-3005
Phone number: 360-415-5870
Mailing Address
STACEY MORT
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-5870
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