FREDERICK PALTRON EDWARDS

LAKEWOOD, WA
NPI1043749443
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO60624643)
Enumeration Date2017-06-08
Last Update Date2022-07-21
Business Address
FREDERICK PALTRON EDWARDS CDPT
9500 FRONT STREET SUITE 100
LAKEWOOD, WA 98499
Phone number: 253-584-3996
Mailing Address
FREDERICK PALTRON EDWARDS CDPT
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-584-3996