ANTONIO BERNARD LEVERETTE

TACOMA, WA
NPI1598004145
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: WA  V010203.)
Enumeration Date2013-02-01
Last Update Date2020-10-19
Business Address
Mr. ANTONIO BERNARD LEVERETTE
9600 VETERANS DR SW A-116-148
TACOMA, WA 98493-5000
Phone number: 253-583-2829
Mailing Address
Mr. ANTONIO BERNARD LEVERETTE
9600 VETERANS DR SW A-116-148
TACOMA, WA 98493-5000
Phone number: 253-583-2829