Individual
JULINE K DUAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CG60709757
Contact information
Practice address
7415 NE 94TH AVE, VANCOUVER, WA 98662-3859
(360) 253-6019
Mailing address
3812 E 14TH ST, VANCOUVER, WA 98661-5427
(360) 977-9610
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
CG60709757
WA
Other
Enumeration date
12/01/2016
Last updated
12/01/2016
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