TY MATHEW BOE

PORT ANGELES, WA
NPI1073966172
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO60646563)
Enumeration Date2016-07-13
Last Update Date2016-07-13
Business Address
-- TY MATHEW BOE CDPT
933 E 1ST ST
PORT ANGELES, WA 98362-4012
Phone number: 360-452-4432
Mailing Address
-- TY MATHEW BOE CDPT
2851 LOWER ELWHA RD
PORT ANGELES, WA 98363-8409
Phone number: 360-452-4432
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