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1013436138
KEN DAVIS
VANCOUVER, WA
NPI
1013436138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60382527)
Enumeration Date
2017-09-11
Last Update Date
2017-09-11
Business Address
Mr. KEN DAVIS BSW, CDP
2009 NE 117TH ST
VANCOUVER, WA 98686-4022
Phone number: 360-566-9112
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Mailing Address
Mr. KEN DAVIS BSW, CDP
7571 VIRGINIA LN
VANCOUVER, WA 98664-2168
Phone number: 360-601-4120
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