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1053630442
STEPHEN PETER BOGAN
SEATTLE, WA
NPI
1053630442
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
(Licence: WA LH00004352)
Enumeration Date
2010-05-25
Last Update Date
2010-05-25
Business Address
Mr. STEPHEN PETER BOGAN M.A., L.M.H.C.
6407 FAUNTLEROY S.W.
SEATTLE, WA 98136-1820
Phone number: 206-463-3050
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Mailing Address
Mr. STEPHEN PETER BOGAN M.A., L.M.H.C.
13930-S.W. POHL ROAD
VASHON, WA 98070-8712
Phone number: 206-463-3050
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