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1235274655
BRETT DANA BENNETT
TACOMA, WA
NPI
1235274655
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP00001357)
Enumeration Date
2007-02-21
Last Update Date
2007-07-08
Business Address
BRETT DANA BENNETT CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
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Mailing Address
BRETT DANA BENNETT CDP
33413 4TH CT SW
FEDERAL WAY, WA 98023-6194
Phone number: 253-838-0733
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