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1356474936
MICHAEL KEVIN STRUB
PUYALLUP, WA
NPI
1356474936
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker Clinical
(Licence: WA LW00004263)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
MICHAEL KEVIN STRUB LSW
802 39TH AVE SW
PUYALLUP, WA 98373-5915
Phone number: 253-841-9720
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Mailing Address
MICHAEL KEVIN STRUB LSW
2109 MCELROY PL
PUYALLUP, WA 98371-5004
Phone number: 253-841-9720
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