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1942909189
TY DOUGLAS DENNER
ELLENSBURG, WA
NPI
1942909189
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61407222)
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
TY DOUGLAS DENNER
200 E 3RD AVE
ELLENSBURG, WA 98926-3347
Phone number: 509-925-9821
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Mailing Address
TY DOUGLAS DENNER
200 E 3RD AVE
ELLENSBURG, WA 98926-3347
Phone number: 509-925-9821
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