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1710497839
CHRISTOPHER LESLIE STANDRIDGE
LONGVIEW, WA
NPI
1710497839
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60560032)
Enumeration Date
2017-10-03
Last Update Date
2017-10-03
Business Address
CHRISTOPHER LESLIE STANDRIDGE
1044 11TH AVE
LONGVIEW, WA 98632-2506
Phone number: 360-575-3316
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Mailing Address
CHRISTOPHER LESLIE STANDRIDGE
PO BOX 2429
LONGVIEW, WA 98632-8486
Phone number: 360-575-3316
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