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1245691070
KEITH HARRISON FORD
ANACORTES, WA
NPI
1245691070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60026494)
Enumeration Date
2016-03-07
Last Update Date
2022-06-16
Business Address
KEITH HARRISON FORD
8212 S MARCH POINT RD
ANACORTES, WA 98221-8684
Phone number: 360-588-2800
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Mailing Address
KEITH HARRISON FORD
17337 RESERVATION RD
LA CONNER, WA 98257-8802
Phone number: 360-466-1024
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