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1720256555
GARY R MCCULLOUGH
MUKILTEO, WA
NPI
1720256555
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00001723)
Enumeration Date
2008-02-14
Last Update Date
2014-03-12
Business Address
Mr. GARY R MCCULLOUGH CDP
627 5TH ST SUITE 100A
MUKILTEO, WA 98275-1580
Phone number: 425-290-5757
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Mailing Address
Mr. GARY R MCCULLOUGH CDP
627 5TH ST SUITE 100A
MUKILTEO, WA 98275-1580
Phone number: 425-328-9528
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