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1598004145
ANTONIO BERNARD LEVERETTE
TACOMA, WA
NPI
1598004145
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: WA V010203.)
Enumeration Date
2013-02-01
Last Update Date
2020-10-19
Business Address
Mr. ANTONIO BERNARD LEVERETTE
9600 VETERANS DR SW A-116-148
TACOMA, WA 98493-5000
Phone number: 253-583-2829
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Mailing Address
Mr. ANTONIO BERNARD LEVERETTE
9600 VETERANS DR SW A-116-148
TACOMA, WA 98493-5000
Phone number: 253-583-2829
Copy
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