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1205069549
EDWARD LEE BROCK
SEATTLE, WA
NPI
1205069549
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
(Licence: WA LH 60017490)
Enumeration Date
2009-09-03
Last Update Date
2009-09-03
Business Address
MR. EDWARD LEE BROCK LMHC, M.DIV., D.MIN.
115 N 85TH ST #202
SEATTLE, WA 98103-3653
Phone number: 425-773-4144
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Mailing Address
MR. EDWARD LEE BROCK LMHC, M.DIV., D.MIN.
23030 97TH AVE W
EDMONDS, WA 98020-5009
Phone number: 425-773-4144
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