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1912178286
MARTHA S HEAVERLO
LAKEWOOD, WA
NPI
1912178286
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Former Name
MARTHA S OWINGS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2008-03-14
Last Update Date
2008-03-17
Business Address
Ms. MARTHA S HEAVERLO HS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
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Mailing Address
Ms. MARTHA S HEAVERLO HS
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-581-7020
Copy
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