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1184993065
MICAH JAMES STEVENS
EVERETT, WA
NPI
1184993065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-12-21
Last Update Date
2011-12-21
Business Address
-- MICAH JAMES STEVENS
4526 FEDERAL AVE
EVERETT, WA 98203-2132
Phone number: 425-349-8463
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Mailing Address
-- MICAH JAMES STEVENS
PO BOX 3810
EVERETT, WA 98213-8810
Phone number:
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