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1194217976
TYLER WILLIAM STOCKTON
LONGVIEW, WA
NPI
1194217976
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60795539)
Enumeration Date
2018-06-06
Last Update Date
2018-06-06
Business Address
TYLER WILLIAM STOCKTON CDPT
900 FIR ST
LONGVIEW, WA 98632-2544
Phone number: 360-575-3316
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Mailing Address
TYLER WILLIAM STOCKTON CDPT
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-947-2247
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