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1922564962
TERESA LEE BRUNELLE
KELSO, WA
NPI
1922564962
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60730867)
Enumeration Date
2019-02-14
Last Update Date
2019-02-14
Business Address
Ms. TERESA LEE BRUNELLE CDPT
404 W MAIN ST
KELSO, WA 98626-1118
Phone number: 360-423-2806
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Mailing Address
Ms. TERESA LEE BRUNELLE CDPT
311 W KINGSBURY RD
KELSO, WA 98626-9523
Phone number: 360-560-8826
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