TRACY KATIE KIRBY NOLAN

LAKEWOOD, WA
NPI1982457354
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO61366237)
Enumeration Date2024-04-08
Last Update Date2024-04-08
Business Address
TRACY KATIE KIRBY NOLAN SUDPT
4909 108TH ST SW
LAKEWOOD, WA 98499-3724
Phone number: 253-544-4772
Mailing Address
TRACY KATIE KIRBY NOLAN SUDPT
PO BOX 257 PMB 7324
OLYMPIA, WA 98507
Phone number: