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1104680206
LUKAS ROBERT LEE LARSON
KENT, WA
NPI
1104680206
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2024-02-08
Last Update Date
2024-02-08
Business Address
LUKAS ROBERT LEE LARSON SUDP/T
21851 84TH AVE S # 101
KENT, WA 98032-1958
Phone number: 425-687-7082
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Mailing Address
LUKAS ROBERT LEE LARSON SUDP/T
21851 84TH AVE S # 101
KENT, WA 98032-1958
Phone number: 425-687-7082
Copy
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