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1306377205
BRIAN RICHARDSON
PORT TOWNSEND, WA
NPI
1306377205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CO729472)
Enumeration Date
2017-03-22
Last Update Date
2017-03-22
Business Address
BRIAN RICHARDSON CDPT
686 LAKE ST
PORT TOWNSEND, WA 98368-2282
Phone number: 360-385-3866
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Mailing Address
BRIAN RICHARDSON CDPT
686 LAKE ST
PORT TOWNSEND, WA 98368-2282
Phone number:
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