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1164999504
ELLIS LEE MCDANIEL
SEATTLE, WA
NPI
1164999504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP00002904)
Enumeration Date
2018-10-24
Last Update Date
2018-10-24
Business Address
ELLIS LEE MCDANIEL CDP
861 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 844-987-9274
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Mailing Address
ELLIS LEE MCDANIEL CDP
861 POPLAR PL S
SEATTLE, WA 98144-2827
Phone number: 844-987-9274
Copy
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