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1982176574
BERNADINE LEE KNUTZ
SHELTON, WA
NPI
1982176574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60860203)
Enumeration Date
2018-12-20
Last Update Date
2018-12-20
Business Address
BERNADINE LEE KNUTZ CDPT
235 S 3RD ST
SHELTON, WA 98584-2255
Phone number: 360-426-0890
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Mailing Address
BERNADINE LEE KNUTZ CDPT
1936 S 1ST ST
SHELTON, WA 98584-2404
Phone number: 360-463-6998
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