Individual
MARJORIE MAE SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT.CO.61129031
Contact information
Practice address
1906 N 20TH AVE, PASCO, WA 99301-3393
(509) 792-1041
Mailing address
1906 N 20TH AVE, PASCO, WA 99301-3393
(509) 792-1041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
CDPT.CO.61129031
WA
Other
Enumeration date
01/03/2022
Last updated
01/04/2022
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