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1730630724
PHILLIP CARSON
VANCOUVER, WA
NPI
1730630724
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CO60638054)
Enumeration Date
2016-10-14
Last Update Date
2020-08-12
Business Address
PHILLIP CARSON CDPT
3507 NE 127TH AVE
VANCOUVER, WA 98682-7657
Phone number: 360-513-9049
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Mailing Address
PHILLIP CARSON CDPT
3507 NE 127TH AVE
VANCOUVER, WA 98682-7657
Phone number: 360-513-9049
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