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1013485846
AUSTIN NICHOLAS MAMONT
SEATTLE, WA
NPI
1013485846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA SC61198323)
Enumeration Date
2018-11-09
Last Update Date
2022-01-07
Business Address
AUSTIN NICHOLAS MAMONT LSWAIC
3592 NE 73RD PL APT 7A
SEATTLE, WA 98115-5955
Phone number: 206-451-7284
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Mailing Address
AUSTIN NICHOLAS MAMONT LSWAIC
12345 LAKE CITY WAY NE # 2180
SEATTLE, WA 98125-5401
Phone number: 206-451-7284
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