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Individual

DANIELLE SHANDERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2732 GRAND AVE, EVERETT, WA 98201-3416
(425) 259-5842
(425) 259-0243
Mailing address
PO BOX 12598, EVERETT, WA 98206-2598

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60298454
WA

Other

Enumeration date
03/17/2016
Last updated
03/21/2016
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