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1134573744
GREGORY KENNEDY
VANCOUVER, WA
NPI
1134573744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60366951)
Enumeration Date
2016-04-20
Last Update Date
2016-04-20
Business Address
-- GREGORY KENNEDY
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number: 360-993-3000
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Mailing Address
-- GREGORY KENNEDY
6926 NE FOURTH PLAIN BLVD
VANCOUVER, WA 98661-7369
Phone number:
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