Individual
TALITHA MOON LADUCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
21 COLVILLE STREET, NESPELEM, WA 99155
(509) 634-2011
Mailing address
PO BOX 1405, OMAK, WA 98841-1405
(509) 861-8111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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