Individual
MS. PAULETTE SUE HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDP
Contact information
Practice address
719 E MAIN STE C, PUYALLUP, WA 98372-3306
(425) 280-7852
(253) 841-8168
Mailing address
719 E MAIN STE C, PUYALLUP, WA 98372-3306
(425) 280-7852
(253) 841-8168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002227
WA
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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