Individual
DEBRA SUE HANNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
719 E MAIN STE C, PUYALLUP, WA 98372-3306
(253) 841-8165
(253) 841-8168
Mailing address
719 E MAIN STE C, PUYALLUP, WA 98372-3306
(253) 841-8165
(253) 841-8168
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60818892
WA
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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