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1073966172
TY MATHEW BOE
PORT ANGELES, WA
NPI
1073966172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60646563)
Enumeration Date
2016-07-13
Last Update Date
2016-07-13
Business Address
-- TY MATHEW BOE CDPT
933 E 1ST ST
PORT ANGELES, WA 98362-4012
Phone number: 360-452-4432
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Mailing Address
-- TY MATHEW BOE CDPT
2851 LOWER ELWHA RD
PORT ANGELES, WA 98363-8409
Phone number: 360-452-4432
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