BRUCE WAYNE AUSTIN

EVERETT, WA
NPI1518473099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60437219)
Enumeration Date2017-12-20
Last Update Date2017-12-20
Business Address
BRUCE WAYNE AUSTIN CDP
9930 EVERGREEN WAY STE Z150
EVERETT, WA 98204-3889
Phone number: 425-347-5121
Mailing Address
BRUCE WAYNE AUSTIN CDP
9930 EVERGREEN WAY
EVERETT, WA 98204-3883
Phone number:
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