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Individual

MRS. MEGAN RENAE GIFFORD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDP, CD(DONA)

Contact information

Practice address
29810 SE 472ND ST, ENUMCLAW, WA 98022-9302
(253) 332-2501
Mailing address
29810 SE 472ND ST, ENUMCLAW, WA 98022-9302
(253) 332-2501

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP 00006134
WA
374J00000X
Doula
Primary

Other

Enumeration date
11/28/2011
Last updated
03/24/2022
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