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1477712701
KENNETH ROBERT WARNER
VANCOUVER, WA
NPI
1477712701
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00005993)
Enumeration Date
2008-06-02
Last Update Date
2018-10-23
Business Address
Mr. KENNETH ROBERT WARNER AAS
2009 NE 117TH ST STE 101
VANCOUVER, WA 98686-4022
Phone number: 360-566-9112
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Mailing Address
Mr. KENNETH ROBERT WARNER AAS
2009 NE 117TH ST STE 101
VANCOUVER, WA 98686-4022
Phone number: 360-566-9112
Copy
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