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1609574144
MATTHEW B ELLEFSON
SEATTLE, WA
NPI
1609574144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-02-22
Last Update Date
2023-02-22
Business Address
MATTHEW B ELLEFSON SUDP
1618 S LANE ST
SEATTLE, WA 98144-2829
Phone number: 206-550-5894
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Mailing Address
MATTHEW B ELLEFSON SUDP
1618 S LANE ST
SEATTLE, WA 98144-2829
Phone number: 206-550-5894
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