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1952138778
NICOLE SOWELL
LAKEWOOD, WA
NPI
1952138778
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Enumeration Date
2024-09-16
Last Update Date
2024-11-17
Business Address
NICOLE SOWELL SUDP
4909 108TH ST SW
LAKEWOOD, WA 98499-3724
Phone number: 253-544-4772
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Mailing Address
NICOLE SOWELL SUDP
4866 S 48TH ST APT B9
TACOMA, WA 98409-1906
Phone number: 253-882-5978
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