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Individual

SHELLIENE BRIANNE MANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDPT

Contact information

Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6872
Mailing address
1301 B ST, CENTRALIA, WA 98531-5007
(360) 791-0866

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61255065
WA

Other

Enumeration date
11/17/2022
Last updated
11/17/2022
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