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1619260205
ANTHONY ISAM ANDRISEK
LAKEWOOD, WA
NPI
1619260205
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2011-05-16
Last Update Date
2011-05-16
Business Address
Mr. ANTHONY ISAM ANDRISEK BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
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Mailing Address
Mr. ANTHONY ISAM ANDRISEK BA
9330 59TH AVE SW
LAKEWOOD, WA 98499-2858
Phone number: 253-620-5015
Copy
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