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Individual

DANIELLE ROSE HERINCKX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
840 E PLUM ST, MOSES LAKE, WA 98837-1874
(509) 765-9239
Mailing address
1708 E WILDCAT LN, MOSES LAKE, WA 98837-9795

Taxonomy

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

Other

Enumeration date
05/11/2023
Last updated
05/11/2023
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