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Individual

CAROL VANCONETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
39101 180TH AVE SE, AUBURN, WA 98092-9768
(253) 804-8752
Mailing address
3051 S 188TH ST, APARTMENT 120, SEATAC, WA 98188-5200
(207) 271-2647

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60164363
WA

Other

Enumeration date
01/18/2013
Last updated
01/18/2013
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