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1205288503
RICHARD WILKS
BELLINGHAM, WA
NPI
1205288503
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA C060646373)
Enumeration Date
2016-07-11
Last Update Date
2016-07-11
Business Address
-- RICHARD WILKS
515 LAKEWAY DR
BELLINGHAM, WA 98225-5233
Phone number: 360-767-2187
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Mailing Address
-- RICHARD WILKS
515 LAKEWAY DR
BELLINGHAM, WA 98225-5233
Phone number: 360-767-2187
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