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1972337590
AMBER RENEE LEAVITT
WALLA WALLA, WA
NPI
1972337590
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 61556834)
Enumeration Date
2024-08-27
Last Update Date
2024-08-27
Business Address
AMBER RENEE LEAVITT SUDPT
410 S WILBUR AVE
WALLA WALLA, WA 99362-3532
Phone number: 509-529-6036
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Mailing Address
AMBER RENEE LEAVITT SUDPT
410 S WILBUR AVE
WALLA WALLA, WA 99362-3532
Phone number: 509-529-6036
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