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Individual

ALIDA AVILA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
BA

Contact information

Practice address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260
Mailing address
240 DIVISION ST, GRANDVIEW, WA 98930-1357
(509) 882-4260

Taxonomy

Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary

Other

Enumeration date
10/04/2007
Last updated
10/04/2007
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