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1780054197
PAUL ALLEN WELK
KELSO, WA
NPI
1780054197
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP00005342)
Enumeration Date
2015-09-28
Last Update Date
2015-09-28
Business Address
Mr. PAUL ALLEN WELK AS,CDP
309 OAK ST
KELSO, WA 98626-2340
Phone number: 360-577-7442
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Mailing Address
Mr. PAUL ALLEN WELK AS,CDP
309 OAK ST
KELSO, WA 98626-2340
Phone number: 360-577-7442
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