DAVID CHARLES PORT

PULLMAN, WA
NPI1376774786
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  RC00017858)
Enumeration Date2009-08-03
Last Update Date2009-08-03
Business Address
-- DAVID CHARLES PORT
340 NE MAPLE ST
PULLMAN, WA 99163-4120
Phone number: 509-334-1133
Mailing Address
-- DAVID CHARLES PORT
340 NE MAPLE ST
PULLMAN, WA 99163-4120
Phone number: 509-334-1133
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