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1073052254
CHI MI YI DAVIDSON
OLYMPIA, WA
NPI
1073052254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA co60729036)
Enumeration Date
2017-02-21
Last Update Date
2017-02-21
Business Address
-- CHI MI YI DAVIDSON CDP
3773 MARTIN WAY E BLDG A SUITE 105
OLYMPIA, WA 98506-5048
Phone number: 360-688-7312
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Mailing Address
-- CHI MI YI DAVIDSON CDP
3773 MARTIN WAY E BLDG A SUITE 105
OLYMPIA, WA 98506
Phone number: 360-688-7312
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