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1215437801
DWAYNE SKELTON
TACOMA, WA
NPI
1215437801
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60677059)
Enumeration Date
2018-02-20
Last Update Date
2018-02-20
Business Address
Mr. DWAYNE SKELTON
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number: 253-572-4750
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Mailing Address
Mr. DWAYNE SKELTON
510 TACOMA AVE S
TACOMA, WA 98402-5416
Phone number:
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