MICHAEL ELLIS DASSOW

OLYMPIA, WA
NPI1619348273
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60312432)
Enumeration Date2015-10-08
Last Update Date2015-10-08
Business Address
-- MICHAEL ELLIS DASSOW CDP
3143 DONNELLY DR SE
OLYMPIA, WA 98501-4994
Phone number: 360-888-7661
Mailing Address
-- MICHAEL ELLIS DASSOW CDP
3143 DONNELLY DR SE
OLYMPIA, WA 98501-4994
Phone number: 360-888-7661
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