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1710116256
ANDY MARK LEXOW
VANCOUVER, WA
NPI
1710116256
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP 00006315)
Enumeration Date
2009-07-06
Last Update Date
2009-07-06
Business Address
Mr. ANDY MARK LEXOW CDP
1601 E 4TH PLAIN BUILDING #17
VANCOUVER, WA 98661-3753
Phone number: 360-397-8246
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Mailing Address
Mr. ANDY MARK LEXOW CDP
1601 E 4TH PLAIN BUILDING #17
VANCOUVER, WA 98661-3753
Phone number: 360-397-8246
Copy
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