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1093221533
CRAIG PHILLIP GOODFACE
ABERDEEN, WA
NPI
1093221533
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 60777460)
Enumeration Date
2017-12-20
Last Update Date
2017-12-20
Business Address
CRAIG PHILLIP GOODFACE
311 S I ST
ABERDEEN, WA 98520-6615
Phone number: 360-397-8246
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Mailing Address
CRAIG PHILLIP GOODFACE
1601 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661-3713
Phone number: 360-397-8246
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