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1366919516
CARLTON DOUGLAS CHASTAIN
PORT ANGELES, WA
NPI
1366919516
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
104100000X Social Worker
Enumeration Date
2018-10-25
Last Update Date
2022-02-14
Business Address
Mr. CARLTON DOUGLAS CHASTAIN
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431
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Mailing Address
Mr. CARLTON DOUGLAS CHASTAIN
118 E 8TH ST
PORT ANGELES, WA 98362-6129
Phone number: 360-457-0431
Copy
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