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Individual

MS. ENJOULI CAMMIE STEWARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CG 60832872

Contact information

Practice address
5005 PACIFIC HWY E STE 20, FIFE, WA 98424-2647
(253) 922-6522
(253) 922-6955
Mailing address
13014 97TH AVE E, PUYALLUP, WA 98373-9145
(253) 283-8866

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60893863
WA
405300000X
Prevention Professional
60832872
WA

Other

Enumeration date
09/24/2018
Last updated
11/09/2023
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