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1003110800
DAVID LEWIS MCLEOD
TACOMA, WA
NPI
1003110800
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003404)
Enumeration Date
2011-01-07
Last Update Date
2011-01-07
Business Address
-- DAVID LEWIS MCLEOD CDP
2502 TACOMA AVE S
TACOMA, WA 98402-1310
Phone number: 253-759-0852
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Mailing Address
-- DAVID LEWIS MCLEOD CDP
PO BOX 5305
TACOMA, WA 98415-0305
Phone number: 253-759-0852
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