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1578091245
SOMPASONG KEOHAVONG
SEATTLE, WA
NPI
1578091245
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2017-05-25
Last Update Date
2017-05-25
Business Address
SOMPASONG KEOHAVONG
3639 MLK JR WAY S
SEATTLE, WA 98144-6847
Phone number: 206-695-7575
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Mailing Address
SOMPASONG KEOHAVONG
3639 MLK JR WAY S
SEATTLE, WA 98144-6847
Phone number:
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