BRYAN LEE BOX

PUYALLUP, WA
NPI1639593551
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60243394)
Enumeration Date2014-02-12
Last Update Date2018-07-24
Business Address
BRYAN LEE BOX CDP
3800 3RD ST SE
PUYALLUP, WA 98374
Phone number: 253-604-7423
Mailing Address
BRYAN LEE BOX CDP
3800 3RD ST SE
PUYALLUP, WA 98374-1109
Phone number: 253-604-7423
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