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Individual

TAMMRA LYNN SANDALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CP00005903

Contact information

Practice address
2900 BEAUDRY RD, MOXEE, WA 98936-9425
(509) 930-7478
Mailing address
2900 BEAUDRY RD, MOXEE, WA 98936-9425
(509) 930-7478

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00005903
WA

Other

Enumeration date
07/27/2018
Last updated
07/27/2018
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