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1104577162
CHARLES RANDALL GOODING
KENT, WA
NPI
1104577162
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60474403)
Enumeration Date
2022-01-12
Last Update Date
2022-01-12
Business Address
CHARLES RANDALL GOODING SUDP
23830 PACIFIC HWY S STE 202A
KENT, WA 98032-7706
Phone number: 206-501-5295
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Mailing Address
CHARLES RANDALL GOODING SUDP
23830 PACIFIC HWY S STE 202A
KENT, WA 98032-7706
Phone number: 206-501-5295
Copy
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