STEPHEN CAVENDER

OMAK, WA
NPI1265878417
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  Cp60214880)
Enumeration Date2013-05-15
Last Update Date2013-05-15
Business Address
-- STEPHEN CAVENDER CDP
1007 KOALA DR.
OMAK, WA 98841
Phone number: 509-826-6191
Mailing Address
-- STEPHEN CAVENDER CDP
1007 KOALA DR.
OMAK, WA 98841
Phone number: 509-826-6191
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