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1003391723
IVAR SANDSMARK
SEATTLE, WA
NPI
1003391723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60696848)
Enumeration Date
2018-09-27
Last Update Date
2018-09-27
Business Address
Mr. IVAR SANDSMARK CDPT
11000 LAKE CITY WAY NE OFC
SEATTLE, WA 98125-6748
Phone number: 206-461-3614
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Mailing Address
Mr. IVAR SANDSMARK CDPT
11000 LAKE CITY WAY NE OFC
SEATTLE, WA 98125-6748
Phone number: 206-461-3614
Copy
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