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1467124255
KIMBERLY LOUIS WASHBURN
SEQUIM, WA
NPI
1467124255
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO61212381)
Enumeration Date
2021-09-30
Last Update Date
2021-09-30
Business Address
Mr. KIMBERLY LOUIS WASHBURN SUDPT
390 E CEDAR ST
SEQUIM, WA 98382-3403
Phone number: 360-681-8463
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Mailing Address
Mr. KIMBERLY LOUIS WASHBURN SUDPT
PO BOX 3175
SEQUIM, WA 98382-5011
Phone number: 360-681-8463
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