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1245696889
LUCAS A. MARISCAL
VANCOUVER, WA
NPI
1245696889
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60592142)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
Mr. LUCAS A. MARISCAL CDPT
1601 E 4TH PLAIN BLVD BLDG 17 STE B222
VANCOUVER, WA 98661-3713
Phone number: 360-397-8484
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Mailing Address
Mr. LUCAS A. MARISCAL CDPT
PO BOX 1845
VANCOUVER, WA 98668-1845
Phone number: 360-397-8484
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