JOSHUA BLACK

BREMERTON, WA
NPI1639543986
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
(Licence: WA  BLACKJL150Q3)
Enumeration Date2015-11-24
Last Update Date2015-11-24
Business Address
-- JOSHUA BLACK
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-6697
Mailing Address
-- JOSHUA BLACK
5455 ALMIRA DR NE
BREMERTON, WA 98311-8330
Phone number: 360-415-6697
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