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1497021729
BRIAN OR'DEAL CARPENTER
SEATTLE, WA
NPI
1497021729
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO 60108458)
Enumeration Date
2012-03-30
Last Update Date
2012-03-30
Business Address
-- BRIAN OR'DEAL CARPENTER CDPT
1116 SUMMIT AVE
SEATTLE, WA 98101-2831
Phone number: 206-323-0930
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Mailing Address
-- BRIAN OR'DEAL CARPENTER CDPT
1116 SUMMIT AVE
SEATTLE, WA 98101-2831
Phone number: 206-323-0930
Copy
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