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1043749443
FREDERICK PALTRON EDWARDS
LAKEWOOD, WA
NPI
1043749443
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60624643)
Enumeration Date
2017-06-08
Last Update Date
2022-07-21
Business Address
FREDERICK PALTRON EDWARDS CDPT
9500 FRONT STREET SUITE 100
LAKEWOOD, WA 98499
Phone number: 253-584-3996
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Mailing Address
FREDERICK PALTRON EDWARDS CDPT
9500 FRONT ST S STE 100
LAKEWOOD, WA 98499-9415
Phone number: 253-584-3996
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