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1538641766
EDWARD JAMES MCGIVENEY
PORT ORCHARD, WA
NPI
1538641766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60748950)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
EDWARD JAMES MCGIVENEY
1014 BAY ST STE 24
PORT ORCHARD, WA 98366-5244
Phone number: 360-602-0022
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Mailing Address
EDWARD JAMES MCGIVENEY
1014 BAY ST STE 24
PORT ORCHARD, WA 98366-5244
Phone number: 360-602-0022
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