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1053937623
NOAH JEFFREY ALLEN WILSON
YAKIMA, WA
NPI
1053937623
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60950596)
Enumeration Date
2020-06-19
Last Update Date
2023-09-07
Business Address
Mr. NOAH JEFFREY ALLEN WILSON SUDPT
120 S 3RD ST
YAKIMA, WA 98901-2875
Phone number: 509-248-1800
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Mailing Address
Mr. NOAH JEFFREY ALLEN WILSON SUDPT
120 S 3RD ST
YAKIMA, WA 98901-2875
Phone number: 509-248-1800
Copy
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