SHAWN MICHAEL SEVERSE

TACOMA, WA
NPI1639214075
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00005900)
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
-- SHAWN MICHAEL SEVERSE CDP
2209 E 32ND ST
TACOMA, WA 98404-4922
Phone number: 253-593-0232
Mailing Address
-- SHAWN MICHAEL SEVERSE CDP
4118 118TH AVENUE CT E
EDGEWOOD, WA 98372-2393
Phone number: 253-507-2323
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