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1053754416
ALEX E BROADY
AUBURN, WA
NPI
1053754416
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60140114)
Enumeration Date
2013-04-16
Last Update Date
2013-04-16
Business Address
Mr. ALEX E BROADY CDPT
17300 SE 392ND STREET
AUBURN, WA 98092
Phone number: 253-804-8752
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Mailing Address
Mr. ALEX E BROADY CDPT
17300 SE 392ND
AUBURN, WA 98092
Phone number: 253-804-8752
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