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Individual

CANDUICE LYNN GIPSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AA

Contact information

Practice address
9330 59TH AVE SW, LAKEWOOD, WA 98499-2858
(253) 581-7020
Mailing address
1201 E YELM AVE, STE 400 PMB 186, YELM, WA 98597
(253) 753-6378

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
04/29/2024
Last updated
04/29/2024
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