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1770009144
BRIAN STORIE
RENTON, WA
NPI
1770009144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00004235)
Enumeration Date
2017-08-17
Last Update Date
2017-08-17
Business Address
BRIAN STORIE
212 WELLS AVE S STE 103
RENTON, WA 98057-2142
Phone number: 425-572-0892
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Mailing Address
BRIAN STORIE
21804 MOUNTAIN HWY E
SPANAWAY, WA 98387-7543
Phone number: 253-753-7491
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