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1932981131
SHELLY D KIRK-SELVESTER
GRAHAM, WA
NPI
1932981131
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Professional Name
SHELLY D KIRK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-10-20
Last Update Date
2023-10-20
Business Address
Mrs. SHELLY D KIRK-SELVESTER SUDP-T
21120 MERIDIAN E
GRAHAM, WA 98338-8254
Phone number: 253-285-4750
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Mailing Address
Mrs. SHELLY D KIRK-SELVESTER SUDP-T
21120 MERIDIAN AVENUE EAST
GRAHAM, WA 98338-8254
Phone number: 253-285-4750
Copy
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