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1972291003
DESIRAE ANN FOSTER
TUMWATER, WA
NPI
1972291003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-04-26
Last Update Date
2023-04-26
Business Address
DESIRAE ANN FOSTER SUDPT
6005 TYEE DR SW
TUMWATER, WA 98512-7356
Phone number: 360-464-6867
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Mailing Address
DESIRAE ANN FOSTER SUDPT
2802 RUSSELL RD APT B103
CENTRALIA, WA 98531-1702
Phone number:
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