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1346444395
CHARLES STUART POTRYKUS
EDMONDS, WA
NPI
1346444395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2007-06-13
Last Update Date
2022-01-24
Business Address
CHARLES STUART POTRYKUS MA
8514 HOLLY LN
EDMONDS, WA 98026-8635
Phone number: 206-313-9546
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Mailing Address
CHARLES STUART POTRYKUS MA
8514 HOLLY LN
EDMONDS, WA 98026-8635
Phone number: 206-313-9546
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