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Individual
KACIE M BLANCHARD
Active
Individual
KACIE M BLANCHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60347244
WA STATE DOH
WA
Enumeration date
11/02/2009
Last updated
06/06/2019
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