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Individual

MS. BLANCA V. LAURSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 763-5595
(360) 399-7639
Mailing address
1601 E COLLEGE WAY, MOUNT VERNON, WA 98273-5612
(360) 763-5595
(360) 399-7639

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00039617
WA

Other

Enumeration date
08/08/2007
Last updated
11/03/2022
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