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1184187924
PATRICK DANIEL CARROLL
PORT ANGELES, WA
NPI
1184187924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA BHA.FS.608741)
Enumeration Date
2019-04-09
Last Update Date
2019-04-09
Business Address
PATRICK DANIEL CARROLL
3430 E HIGHWAY 101 STE 3
PORT ANGELES, WA 98362-9069
Phone number: 360-452-4062
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Mailing Address
PATRICK DANIEL CARROLL
3430 E HIGHWAY 101 STE 3
PORT ANGELES, WA 98362-9069
Phone number: 360-452-4062
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