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1003387580
THOMAS OSTERDAHL
EDMONDS, WA
NPI
1003387580
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60725651)
Enumeration Date
2018-12-10
Last Update Date
2018-12-10
Business Address
THOMAS OSTERDAHL CDP
7935 LAKE BALLINGER WAY
EDMONDS, WA 98026-9166
Phone number: 425-412-2973
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Mailing Address
THOMAS OSTERDAHL CDP
7935 LAKE BALLINGER WAY
EDMONDS, WA 98026-9166
Phone number: 425-412-2973
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