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1275810384
BRIAN T WATERMAN
TUKWILA, WA
NPI
1275810384
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00003772)
Enumeration Date
2011-11-03
Last Update Date
2012-10-01
Business Address
-- BRIAN T WATERMAN CDP
15455 65TH AVE S
TUKWILA, WA 98188-2534
Phone number: 206-721-5170
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Mailing Address
-- BRIAN T WATERMAN CDP
15455 65TH AVE S
TUKWILA, WA 98188-2534
Phone number: 206-721-5170
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