SHAINE KENNETH HART

LAKEWOOD, WA
NPI1427231976
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  rc0001689)
Enumeration Date2007-12-06
Last Update Date2007-12-06
Business Address
Mr. SHAINE KENNETH HART
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-584-8933
Mailing Address
Mr. SHAINE KENNETH HART
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number:
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