THERESA GWEN BANZET

TACOMA, WA
NPI1972327518
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61360518)
Enumeration Date2024-11-11
Last Update Date2024-12-05
Business Address
THERESA GWEN BANZET
5001 112TH ST E
TACOMA, WA 98446-5307
Phone number: 253-238-7217
Mailing Address
THERESA GWEN BANZET
5001 112TH ST E
TACOMA, WA 98446-5307
Phone number: 253-238-7217
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