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1275008229
DAVID ELLIS CARR
TACOMA, WA
NPI
1275008229
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date
2018-10-05
Last Update Date
2019-01-18
Business Address
MR. DAVID ELLIS CARR
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
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Mailing Address
MR. DAVID ELLIS CARR
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
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