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1033996582
MICAH GREGORY
VANCOUVER, WA
NPI
1033996582
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
(Licence: WA SWAA.SA.61479326)
Enumeration Date
2023-09-08
Last Update Date
2023-11-20
Business Address
MICAH GREGORY MSW
2502 E 4TH PLAIN BLVD
VANCOUVER, WA 98661-3965
Phone number: 360-831-0904
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Mailing Address
MICAH GREGORY MSW
2502 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3965
Phone number: 360-831-0904
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