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Individual

DAPHNE KRAABELL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AAC, CPC, SUDPT

Contact information

Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632
(360) 200-5419
(360) 200-6736

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO60957992
WA
175T00000X
Peer Specialist
CG60775398
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2140273
WA
Enumeration date
07/26/2018
Last updated
10/30/2020
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