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1730424466
THEA ANN SCOGGAN
EVERETT, WA
NPI
1730424466
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CO ACC.0006562)
Enumeration Date
2012-12-06
Last Update Date
2018-05-17
Business Address
THEA ANN SCOGGAN CAC III
811 MADISON ST
EVERETT, WA 98203
Phone number: 425-212-4200
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Mailing Address
THEA ANN SCOGGAN CAC III
PO BOX 2569
EVERETT, WA 98213-0569
Phone number: 425-212-4200
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