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1356178669
DJ DRAKE JAMES LAGER
CHEHALIS, WA
NPI
1356178669
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00005043)
Enumeration Date
2024-09-19
Last Update Date
2024-09-19
Business Address
DJ DRAKE JAMES LAGER SUDP
505 SE ADAMS AVE
CHEHALIS, WA 98532-3031
Phone number: 360-266-5029
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Mailing Address
DJ DRAKE JAMES LAGER SUDP
505 SE ADAMS AVE
CHEHALIS, WA 98532-3031
Phone number: 360-266-5029
Copy
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