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Individual

DANELLE FAYE WILSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
325 E PIONEER, PUYALLUP, WA 98372
(253) 697-8400
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
06/30/2010
Last updated
02/02/2012
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