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1568528743
MARK ROBERT WARD
BELLINGHAM, WA
NPI
1568528743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA RC00053877)
Enumeration Date
2006-12-29
Last Update Date
2021-04-28
Business Address
MARK ROBERT WARD SUDP
515 LAKEWAY DR
BELLINGHAM, WA 98225-5233
Phone number: 360-676-2187
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Mailing Address
MARK ROBERT WARD SUDP
2 MIDNIGHT CT
BELLINGHAM, WA 98229-7808
Phone number: 360-595-3972
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