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Individual

DOLORES ANN HARRIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSW, LSWAIC, SUDP

Contact information

Practice address
3438 S 148TH ST, TUKWILA, WA 98168-4319
(206) 490-0865
Mailing address
3438 S 148TH ST, TUKWILA, WA 98168-4319
(206) 490-0865

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
SC60992095
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
60809028
WA

Other

Enumeration date
09/27/2017
Last updated
08/26/2020
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