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Individual

MS. LINDA CAROL IRISH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
10828 GRAVELLY LAKE DRIVE SOUTH WEST, LAKEWOOD, WA 98499
(253) 473-7474
(253) 474-9724
Mailing address
10828 GRAVELLY LAKE DRIVE SOUTH WEST, LAKEWOOD, WA 98499
(253) 473-7474
(253) 474-9724

Taxonomy

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

Other

Enumeration date
03/23/2010
Last updated
03/23/2010
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