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1063788511
BENJAMIN M. ROSS
SHORELINE, WA
NPI
1063788511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00001549)
Enumeration Date
2012-03-29
Last Update Date
2012-03-29
Business Address
-- BENJAMIN M. ROSS BS, CDP
16715 AURORA AVE N
SHORELINE, WA 98133-5310
Phone number: 206-546-9766
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Mailing Address
-- BENJAMIN M. ROSS BS, CDP
16715 AURORA AVE SOUTH
SHORELINE, WA 98133
Phone number: 206-546-9766
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