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1962415448
COLLEEN JOANNE KRAGNESS
VANCOUVER, WA
NPI
1962415448
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00001703)
Enumeration Date
2006-08-14
Last Update Date
2007-07-08
Business Address
-- COLLEEN JOANNE KRAGNESS BA, CDPII
14406 NE 20TH AVE
VANCOUVER, WA 98686-1448
Phone number: 360-571-3012
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Mailing Address
-- COLLEEN JOANNE KRAGNESS BA, CDPII
5508 NE DREXEL AVE
VANCOUVER, WA 98663-1460
Phone number: 360-699-5044
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