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1922638352
MICHELLE AGNES MCCLORY
EVERETT, WA
NPI
1922638352
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61018651)
Enumeration Date
2020-01-24
Last Update Date
2020-01-24
Business Address
MICHELLE AGNES MCCLORY SUDP-T
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-322-0812
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Mailing Address
MICHELLE AGNES MCCLORY SUDP-T
2601 SUMMIT AVE
EVERETT, WA 98201-3309
Phone number: 425-322-0812
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