BART NATHANIEL WHEATON

MARYSVILLE, WA
NPI1487983490
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CO 60112516)
Enumeration Date2009-12-22
Last Update Date2009-12-22
Business Address
-- BART NATHANIEL WHEATON
1227 2ND ST
MARYSVILLE, WA 98270-4906
Phone number: 360-651-2366
Mailing Address
-- BART NATHANIEL WHEATON
1227 2ND ST
MARYSVILLE, WA 98270-4906
Phone number:
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