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1912479064
GRACE ELIZABETH BURKHART
TUMWATER, WA
NPI
1912479064
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2018-12-28
Last Update Date
2018-12-28
Business Address
Mrs. GRACE ELIZABETH BURKHART CDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6712
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Mailing Address
Mrs. GRACE ELIZABETH BURKHART CDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6712
Copy
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