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Individual
ILEANA JANOVICH
Active
Individual
ILEANA JANOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP000005557
WA
Other
Enumeration date
04/03/2012
Last updated
04/03/2012
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