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1306216635
DALE WEAVER
EVERETT, WA
NPI
1306216635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60560414)
Enumeration Date
2015-09-29
Last Update Date
2015-09-29
Business Address
-- DALE WEAVER
5007 CLAREMONT WAY
EVERETT, WA 98203-3321
Phone number: 425-609-5505
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Mailing Address
-- DALE WEAVER
PO BOX 34703
SEATTLE, WA 98124-1703
Phone number: 206-764-3335
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