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1205236395
KENNETH SEBASTIAN
EVERETT, WA
NPI
1205236395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2014-08-26
Last Update Date
2014-08-26
Business Address
KENNETH SEBASTIAN
811 MADISON ST
EVERETT, WA 98203-4543
Phone number: 425-212-4200
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Mailing Address
KENNETH SEBASTIAN
PO BOX 2569
EVERETT, WA 98213-0569
Phone number:
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