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1962682823
DIANE LOIS SHEPHERD
PASCO, WA
NPI
1962682823
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00002350)
Enumeration Date
2007-11-08
Last Update Date
2007-11-08
Business Address
Ms. DIANE LOIS SHEPHERD CDP
3918 W COURT ST
PASCO, WA 99301-2775
Phone number: 509-544-5761
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Mailing Address
Ms. DIANE LOIS SHEPHERD CDP
2717 W JOHN DAY AVE
KENNEWICK, WA 99336-2529
Phone number: 509-735-1652
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