BRIAN T WATERMAN

TUKWILA, WA
NPI1275810384
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00003772)
Enumeration Date2011-11-03
Last Update Date2012-10-01
Business Address
-- BRIAN T WATERMAN CDP
15455 65TH AVE S
TUKWILA, WA 98188-2534
Phone number: 206-721-5170
Mailing Address
-- BRIAN T WATERMAN CDP
15455 65TH AVE S
TUKWILA, WA 98188-2534
Phone number: 206-721-5170
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