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1962265520
VIRGINIA LEE LAFAELE
TACOMA, WA
NPI
1962265520
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61226413)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
VIRGINIA LEE LAFAELE CO61226413
12201 PACIFIC AVE S
TACOMA, WA 98444-5126
Phone number: 253-536-6425
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Mailing Address
VIRGINIA LEE LAFAELE CO61226413
12201 PACIFIC AVE S
TACOMA, WA 98444-5126
Phone number: 253-536-6425
Copy
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