EDGAR FABIAN BRAVO

CHEHALIS, WA
NPI1548916901
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2022-02-24
Last Update Date2022-02-24
Business Address
EDGAR FABIAN BRAVO
134 SHANNON LN
CHEHALIS, WA 98532-9648
Phone number: 360-999-1408
Mailing Address
EDGAR FABIAN BRAVO
134 SHANNON LN
CHEHALIS, WA 98532-9648
Phone number: 360-999-1408
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