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1003383670
DON CONRAD G UY
VANCOUVER, WA
NPI
1003383670
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60907372)
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
DON CONRAD G UY
1610 C ST
VANCOUVER, WA 98663-3440
Phone number: 360-787-2125
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Mailing Address
DON CONRAD G UY
29404 NE TIMMEN RD
RIDGEFIELD, WA 98642-9265
Phone number: 813-991-2873
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