ANTHONY ISAM ANDRISEK

LAKEWOOD, WA
NPI1619260205
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor Mental Health
Enumeration Date2011-05-16
Last Update Date2011-05-16
Business Address
MR. ANTHONY ISAM ANDRISEK BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Mailing Address
MR. ANTHONY ISAM ANDRISEK BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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