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1609148394
RICHARD STILLWAUGH
MOSES LAKE, WA
NPI
1609148394
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60188090)
Enumeration Date
2012-01-27
Last Update Date
2012-01-27
Business Address
-- RICHARD STILLWAUGH CDP
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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Mailing Address
-- RICHARD STILLWAUGH CDP
840 E PLUM ST
MOSES LAKE, WA 98837-1874
Phone number: 509-765-9239
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