XAVIER BLUE

SHELTON, WA
NPI1770047680
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2019-01-24
Last Update Date2019-01-24
Business Address
XAVIER BLUE
3737 N SHELTON SPRINGS RD
SHELTON, WA 98584-9105
Phone number: 678-814-7371
Mailing Address
XAVIER BLUE
4211 QUAIL DR SE
LACEY, WA 98503-5504
Phone number: 678-814-7371
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