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1447888946
MARK J NIEZGODA
SEATTLE, WA
NPI
1447888946
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1041C0700X Social Worker, Clinical
(Licence: WA LW60991792)
Enumeration Date
2020-03-30
Last Update Date
2020-03-30
Business Address
Mr. MARK J NIEZGODA LICSW
4219 S OTHELLO ST APT 517
SEATTLE, WA 98118-3886
Phone number: 206-321-3997
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Mailing Address
Mr. MARK J NIEZGODA LICSW
4219 S OTHELLO ST APT 517
SEATTLE, WA 98118-3886
Phone number: 206-321-3997
Copy
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