DAVID ELLIS CARR

TACOMA, WA
NPI1275008229
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2018-10-05
Last Update Date2019-01-18
Business Address
Mr. DAVID ELLIS CARR
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576
Mailing Address
Mr. DAVID ELLIS CARR
3629 S D ST
TACOMA, WA 98418-6813
Phone number: 253-798-6576