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1386006922
ROBERT E MCCULLOUGH
MOUNT VERNON, WA
NPI
1386006922
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA 00004280)
Enumeration Date
2016-03-23
Last Update Date
2019-05-24
Business Address
Mr. ROBERT E MCCULLOUGH
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273-5633
Phone number: 360-755-6400
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Mailing Address
Mr. ROBERT E MCCULLOUGH
1905 CONTINENTAL PL
MOUNT VERNON, WA 98273-5633
Phone number: 360-755-6400
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