AUTUMN FORIE BLACK

PUYALLUP, WA
NPI1962710020
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2010-09-22
Last Update Date2010-09-22
Business Address
-- AUTUMN FORIE BLACK
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-445-8120
Mailing Address
-- AUTUMN FORIE BLACK
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-445-8120
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