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1104329663
MARK OWEN ANDERSON
ABERDEEN, WA
NPI
1104329663
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003031)
Enumeration Date
2018-03-12
Last Update Date
2018-03-12
Business Address
MARK OWEN ANDERSON
1813 SUMNER AVE
ABERDEEN, WA 98520-4600
Phone number: 360-538-1461
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Mailing Address
MARK OWEN ANDERSON
1813 SUMNER AVE
ABERDEEN, WA 98520-4600
Phone number: 360-538-1461
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