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1700028867
MICHAEL GLEN RAY
PORT ANGELES, WA
NPI
1700028867
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA CP00005182)
Enumeration Date
2009-04-03
Last Update Date
2009-04-03
Business Address
MR. MICHAEL GLEN RAY CHEMICAL DEPENDENCY
1026 EAST FIRST STREET SUITE 2
PORT ANGELES, WA 98362
Phone number: 360-452-4432
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Mailing Address
MR. MICHAEL GLEN RAY CHEMICAL DEPENDENCY
1026 EAST FIRST STREET SUITE 2
PORT ANGELES, WA 98362
Phone number: 360-452-4432
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