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1972773828
DOROTHEA SKALICKY
CLARKSTON, WA
NPI
1972773828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00005486)
Enumeration Date
2008-03-06
Last Update Date
2008-03-06
Business Address
-- DOROTHEA SKALICKY BS, CDP
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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Mailing Address
-- DOROTHEA SKALICKY BS, CDP
900 7TH ST
CLARKSTON, WA 99403-2005
Phone number: 509-758-3341
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