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1114645157
RANDOLPH CONNELL SCOTT
SHORELINE, WA
NPI
1114645157
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA LH61176509)
Enumeration Date
2022-08-16
Last Update Date
2022-10-05
Business Address
RANDOLPH CONNELL SCOTT LMHC
14504 30TH AVE NE APT 203
SHORELINE, WA 98155-7509
Phone number: 206-349-8776
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Mailing Address
RANDOLPH CONNELL SCOTT LMHC
20126 BALLINGER WAY NE # 234
SHORELINE, WA 98155-1117
Phone number: 206-349-8776
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