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1639446727
ANDREW JOHN LINCICOME
KENT, WA
NPI
1639446727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60215833)
Enumeration Date
2011-11-17
Last Update Date
2011-11-17
Business Address
-- ANDREW JOHN LINCICOME CDP
841 CENTRAL AVE N SUITE C-215
KENT, WA 98032-2016
Phone number: 253-867-5344
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Mailing Address
-- ANDREW JOHN LINCICOME CDP
1800 112TH AVE NE SUITE 150W
BELLEVUE, WA 98004-2993
Phone number: 425-646-7279
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