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1508604760
DANIEL DITLOW
OLYMPIA, WA
NPI
1508604760
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
175T00000X Peer Specialist
Enumeration Date
2024-07-19
Last Update Date
2024-07-19
Business Address
DANIEL DITLOW CPC
6604 MARTIN WAY E
OLYMPIA, WA 98516-5542
Phone number: 360-639-7002
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Mailing Address
DANIEL DITLOW CPC
280 W ST SE
TUMWATER, WA 98501-5202
Phone number: 564-225-7596
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