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1770351017
MARC DOUGLASS WIDMER
VANCOUVER, WA
NPI
1770351017
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2023-12-15
Last Update Date
2024-11-15
Business Address
MARC DOUGLASS WIDMER
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA 98661-3717
Phone number: 360-397-8246
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Mailing Address
MARC DOUGLASS WIDMER
1707 NW 106TH ST
VANCOUVER, WA 98685-5060
Phone number: 458-392-8193
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