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1306984885
MARK LACY SHIFFLETTE
BELLINGHAM, WA
NPI
1306984885
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: WA LH00008112)
Enumeration Date
2007-02-05
Last Update Date
2007-07-08
Business Address
Mr. MARK LACY SHIFFLETTE MSW
2215 ELM ST
BELLINGHAM, WA 98225-2899
Phone number: 360-647-1328
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Mailing Address
Mr. MARK LACY SHIFFLETTE MSW
2215 ELM ST
BELLINGHAM, WA 98225-2899
Phone number: 360-647-1328
Copy
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